Individual provider Active NPI

Edward Levitan, MD

  • Family Medicine Physician
  • Newton, MA
National Provider Identifier
1740393222
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222719 Issued in MA
Practice address
181 Wells Ave
Suite 202
Newton, MA 02459-3344
Phone
(617) 934-6400
Fax
(617) 934-6401
NPI assigned
Aug 17, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222719 MA Primary

Addresses

Primary practice location

181 Wells Ave
Suite 202
Newton, MA 02459-3344

Mailing address

181 Wells Ave
Suite 202
Newton, MA 02459-3344
Phone (617) 934-6400

Other identifiers 3

IdentifierTypeStateIssuer
479166OtherMATUFTS HEALTH PLAN
J40331OtherMABCBS OF MA
AA65576OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060831000101 MA Practitioner - Family Practice 7012911241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Journeys PCGroup PAC ID 5193020873, 3 clinicians

Practice addresses (Care Compare)

181 Wells Ave
Suite 202
Newton, MA 02459-3344
Phone (617) 934-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222719MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Journeys, PC Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Rothfeld Center for Integrative Medicine Family Medicine PastSince Sep 6, 1991 Accepting new patients
Marino Foundation for Integrative Medicine, Inc. Family Medicine Past Accepting new patients
Visions Healthcare Past Accepting new patients

Locations

181 Wells Ave
Ste 202
Newton Center, MA 02459
Phone (617) 934-6400

Interoperability endpoints

  • Direct secure messaging: edward.levitan.1@12273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12273/brand/1/csg/1/fhir/r4

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 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1740393222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WELLS AVE",
            "address_2": "SUITE 202",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593344",
            "telephone_number": "617-934-6400",
            "fax_number": "617-934-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WELLS AVE",
            "address_2": "SUITE 202",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593344",
            "telephone_number": "617-934-6400",
            "fax_number": "617-934-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "222719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "479166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "J40331",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA65576",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.