Active NPI
Morton A Levy, MD
- Hematology & Oncology Physician
- Swansea, IL
National Provider Identifier
1811999030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036-055967
- Practice address
- 4000 North Illinois
Swansea, IL 62226-1946 - Phone
- (618) 236-1000
- Fax
- (618) 236-1299
- NPI assigned
- Jun 1, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036-055967 | IL | Primary |
Addresses
Primary practice location
4000 North Illinois
Swansea, IL 62226-1946
Mailing address
4000 North Illinois
Swansea, IL 62226-1946
Phone (618) 236-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L77876 | Other | IL | PIN |
| 028-0261043 | Medicaid | IL |
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 |
|---|---|---|---|
| 036-055967 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Physicians in Illinois, Inc | Past | Accepting new patients | |
| Southwest Illinois Health Services, LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811999030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 NORTH ILLINOIS",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261946",
"telephone_number": "618-236-1000",
"fax_number": "618-236-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 NORTH ILLINOIS",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261946",
"telephone_number": "618-236-1000",
"fax_number": "618-236-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MORTON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036-055967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "L77876",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028-0261043",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.