Individual provider Active NPI

Mark Levitan, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1609848399
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J3839 Issued in TX
Practice address
801 W 38TH St
Suite 200
Austin, TX 78705-1169
Phone
(512) 451-0103
Fax
(512) 451-2741
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X J3839 TX Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X J3839 TX

Addresses

Primary practice location

801 W 38TH St
Suite 200
Austin, TX 78705-1169

Mailing address

801 W 38TH St
Suite 200
Austin, TX 78705-1169
Phone (512) 451-0103

Other identifiers 4

IdentifierTypeStateIssuer
8G5370OtherTXBCBS TX
116713205MedicaidTX
116713204MedicaidTX
180044339OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001249 TX Practitioner - Ophthalmology 4880636208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Retina Associates PLLCGroup PAC ID 2163497801, 18 clinicians

Practice addresses (Care Compare)

801 W 38TH St
Suite 200
Austin, TX 78705-1169
Phone (512) 451-0103

Merit-based Incentive Payment System (MIPS)

Final score
99.55 of 100Reported as individual
Quality
99.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3839TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Mar 1, 2008 Accepting new patients
Austin Retina Associates PLLC Ophthalmology CurrentSince Mar 1, 2008 Accepting new patients
Brandon Eye Associates PA Ophthalmology Past Accepting new patients
Soll Eye PC of NJ Ophthalmology Past Accepting new patients

Locations

3300 W Anderson Ln
Ste 308
Austin, TX 78757
Phone (512) 454-8744

1512 W 35th St
Ste 200
Austin, TX 78703

4207 James Casey St
Ste 301
Austin, TX 78745
Phone (512) 444-7944

801 W 38th St
Ste 200
Austin, TX 78705

2801 S Water St
Burnet, TX 78611
Phone (512) 756-2131

2301 Clear Creek Rd
Ste 116
Killeen, TX 76549
Phone (254) 526-5505

2501 Ranch Road 620 S
Ste 130
Lakeway, TX 78734

101 Medical Pkwy
Ste 240
Lakeway, TX 78738

2006 N US Highway 281
Marble Falls, TX 78654
Phone (830) 693-2020

1545 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (512) 610-2820

2430 S Interstate 35
Ste 106
San Marcos, TX 78666
Phone (512) 353-1300

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

14500 Ranch Road 12
Ste 8
Wimberley, TX 78676
Phone (512) 353-1300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1609848399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 38TH ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051169",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 38TH ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051169",
            "telephone_number": "512-451-0103",
            "fax_number": "512-451-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J3839",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "J3839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8G5370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116713205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116713204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180044339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.