Active NPI
Nat T Levy, MD
- Critical Care Medicine (Internal Medicine) Physician
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 113413
- Practice address
- 6698 Keaton Corporate Pkwy
Ste: 101
O Fallon, MO 63368-8724 - Phone
- (636) 928-0215
- Fax
- (636) 928-0218
- NPI assigned
- Aug 19, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 113413 | MO | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036.107143 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036.107143 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 113413 | MO |
Addresses
Primary practice location
6698 Keaton Corporate Pkwy
Ste: 101
O Fallon, MO 63368-8724
Mailing address
12101 Woodcrest Executive Dr
Suite 210
Saint Louis, MO 63141-5047
Phone (314) 317-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129000943 | IL | Practitioner - Critical Care (Intensivists) | 8820994494 | |
| I20100618000781 | MO | Practitioner - Critical Care (Intensivists) | 8820994494 | Reassigns benefits to 1 organization |
| I20160426001803 | NJ | Practitioner - Pulmonary Disease | 8820994494 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Physician Services PC
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
Hospital & facility affiliations
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.107143 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Midwest Acute Care Consultants, PC | Critical Care Medicine | Past | Accepting new patients |
Locations
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
140 Chestnut St
Ste 200
Ridgewood, NJ 07450
Phone (201) 447-3866
1200 E Ridgewood Ave
Ste 303
Ridgewood, NJ 07450
Phone (201) 689-7755
Interoperability endpoints
- nat.levy.2@5622.direct.athenahealth.com
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1023069994
Critical Care Medicine
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
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": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1790777225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 WOODCREST EXECUTIVE DR",
"address_2": "SUITE 210",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415047",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6698 KEATON CORPORATE PKWY",
"address_2": "STE: 101",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688724",
"telephone_number": "636-928-0215",
"fax_number": "636-928-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "NAT",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "113413",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036.107143",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036.107143",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "113413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.