NPIMap

Individual provider Active NPI

Kenneth Levin, MD

  • Diagnostic Radiology Physician
  • Scranton, PA
National Provider Identifier
1760534655
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD020994E Issued in PA
Practice address
435 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Phone
(570) 343-4334
Fax
(570) 207-4287
NPI assigned
Jan 18, 2007
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD020994E PA Primary

Addresses

Primary practice location

435 Scranton Carbondale Hwy
Scranton, PA 18508-1115

Mailing address

435 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Phone (570) 343-4334

Other identifiers 1

IdentifierTypeStateIssuer
001223833MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000232 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4789607870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians

Practice addresses (Care Compare)

2717 W Washington St
Allentown, PA 18104-3838
Phone (412) 230-8200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2014 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2014 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jan 18, 2022 Accepting new patients
Gastroenterology Associates LTD Past Accepting new patients
Avicenna Physician Services Inc PastSince Oct 1, 2025 Accepting new patients
Altomare and Associates Diagnostic Radiology Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

Interoperability endpoints

  • Direct secure messaging: klevin@viewmont.medentdirect.com

Organizations & group practices 7

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 12

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1760534655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-343-4334",
            "fax_number": "570-207-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-343-4334",
            "fax_number": "570-207-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD020994E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001223833",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.