Active NPI
Marc A Levin, MD
- Neurological Surgery Physician
- Munster, IN
National Provider Identifier
1619952470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01023340A
- Practice address
- 801 Macarthur Blvd
Ste 405
Munster, IN 46321-2919 - Phone
- (219) 836-5167
- Fax
- (219) 836-5249
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01023340A | IN | Primary |
Addresses
Primary practice location
801 Macarthur Blvd
Ste 405
Munster, IN 46321-2919
Mailing address
801 Macarthur Blvd
Ste 405
Munster, IN 46321-2919
Phone (219) 836-5167
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000383681 | Other | IN | ANTHEM BCBS |
| 100157720A | Medicaid | IN | |
| P00289364 | Other | IN | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01023340A | IN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1619952470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD",
"address_2": "STE 405",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-836-5167",
"fax_number": "219-836-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD",
"address_2": "STE 405",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-836-5167",
"fax_number": "219-836-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "MARC",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01023340A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000383681",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100157720A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00289364",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.