NPIMap

Individual provider Active NPI

Edward K Leventhal, M.D.

  • Urology Physician
  • Hanover, PA
National Provider Identifier
1528098910
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD048429L Issued in PA
Practice address
250 Fame Ave
Suite 235
Hanover, PA 17331-1587
Phone
(717) 646-7011
Fax
(717) 646-7437
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D38789 MD
Urology Physician 208800000X MD048429L PA Primary

Addresses

Primary practice location

250 Fame Ave
Suite 235
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 235
Hanover, PA 17331-1587
Phone (717) 646-7011

Other identifiers 2

IdentifierTypeStateIssuer
786602000MedicaidMD
1029028840001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eleventhal86253@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428000659 PA Practitioner - Urology 4688670813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Pennsylvania, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical Services 1,025 clinicians

Practice addresses (Care Compare)

250 Fame Ave
Suite 235
Hanover, PA 17331-1576
Phone (717) 646-7011

Hospital & facility affiliations

  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D38789MDMDUrology Physician
MD048429LPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Associates,LLC Urology Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Advanced Urology Associates, LLC Urology CurrentSince Jul 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Reisterstown Ambulatory Surgical Center PastSince Aug 31, 2007 Accepting new patients

Locations

4000 Old Court Rd
Ste 300301
Pikesville, MD 21208
Phone (410) 653-0000

193 Stoner Ave
Ste 310
Westminster, MD 21157
Phone (410) 751-2363

250 Fame Ave
Ste 235
Hanover, PA 17331
Phone (717) 646-7011

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

250 Fame Ave
Ste 202
Hanover, PA 17331
Phone (717) 632-9263

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: eleventhal19324@upmc.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1528098910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 235",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-7011",
            "fax_number": "717-646-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 235",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-7011",
            "fax_number": "717-646-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTHAL",
        "first_name": "EDWARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D38789",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD048429L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786602000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029028840001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleventhal86253@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "250 Fame Ave",
            "address_2": "SUITE 235",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173311587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.