Individual provider Active NPI

Laurence Martin Levett, M.D.

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1760498646
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3303 Issued in TX
Practice address
600 N Union Ave
New Braunfels, TX 78130-4194
Phone
(830) 643-6252
Fax
(830) 643-6255
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3303 TX Primary
Hospitalist Physician 208M00000X K3303 TX

Addresses

Primary practice location

600 N Union Ave
New Braunfels, TX 78130-4194

Mailing address

3851 Roger Brooke Drive
Attn Trailer 15/Imc
Fort Sam Houston, TX 78234-4501
Phone (210) 916-1415

Other identifiers 4

IdentifierTypeStateIssuer
164788503MedicaidTX
164788502MedicaidTX
0069NKOtherTXBC/BS ID
8W2431OtherTXBC/BS

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
I20040610000434 TX Practitioner - Internal Medicine 8426031550 Reassigns benefits to 1 organization
Practice locations: Fort Sam Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe County Hospital BoardGroup PAC ID 5496653842, 31 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-2411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3303TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board CurrentSince Mar 1, 2020 Accepting new patients
Guadalupe County Hospital Board Current Accepting new patients
Guadalupe County Hospital Board Hospitalist CurrentSince Mar 1, 2020 Accepting new patients
Lone Star Extensivists PLLC Internal Medicine PastSince Sep 1, 2024 Accepting new patients

Locations

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 6

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 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1760498646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DRIVE",
            "address_2": "ATTN TRAILER 15/IMC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304194",
            "telephone_number": "830-643-6252",
            "fax_number": "830-643-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVETT",
        "first_name": "LAURENCE",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3303",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "K3303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164788503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164788502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID",
            "identifier": "0069NK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8W2431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.