Individual provider Active NPI

Alexandra Ellyse Levitt, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Denver, CO
National Provider Identifier
1558711499
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
DR.0064017 Issued in CO
Practice address
4500 Cherry Creek Dr. S
Suite 550
Denver, CO 80246
Phone
(303) 839-1616
Fax
(303) 839-1991
NPI assigned
Jun 21, 2016
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11018710A IN
Student in an Organized Health Care Education/Training Program 390200000X FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X DR.0064017 CO Primary

Addresses

Primary practice location

4500 Cherry Creek Dr. S
Suite 550
Denver, CO 80246

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200701000232 CO Practitioner - Ophthalmology 9133411440 Reassigns benefits to 2 organizations
I20250107001988 KS Practitioner - Ophthalmology 9133411440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert G. Fante MD, PCGroup PAC ID 1052389715, 2 clinicians

Practice addresses (Care Compare)

220 W 2ND St
Goodland, KS 67735-1602
Phone (303) 839-1616

4500 Cherry Creek Dr S
Suite 550
Denver, CO 80246
Phone (303) 839-1616

4500 Cherry Creek Dr S
Suite 550
Denver, CO 80246-1518

4500 E Cherry Creek S Dr
Denver, CO 80246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064017COMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Oculofacial Plastic Surgery Ophthalmic Plastic and Reconstructive Surgery CurrentSince Nov 30, 2025 Accepting new patients
Robert G. Fante MD, PC CurrentSince Oct 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jul 1, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jul 1, 2020 Accepting new patients

Locations

4500 E Cherry Creek South Dr
Ste 550
Denver, CO 80246
Phone (303) 839-1616

777 Bannock St
Denver, CO 80204

220 W 2nd St
Goodland, KS 67735
Phone (785) 890-3625

Interoperability endpoints

  • Direct secure messaging: alexandra.levitt.1@17074.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1558711499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CHERRY CREEK DR. S",
            "address_2": "SUITE 550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-839-1616",
            "fax_number": "303-839-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "ALEXANDRA",
        "middle_name": "ELLYSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11018710A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR.0064017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.