Individual provider Active NPI

Evan Jacob Levy, MD

  • Gynecologic Oncology Physician
  • West Palm Beach, FL
National Provider Identifier
1821529181
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME167697 Issued in FL
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(561) 366-4100
Fax
(561) 366-4189
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125.070176 IL
Gynecologic Oncology Physician 207VX0201X ME167697 FL Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

21020 State Road 7 # 200C
Boca Raton, FL 33428-1320
Phone (561) 409-1071

Other practice location 2

4801 S Congress Ave Ste 400
Palm Springs, FL 33461-4746
Phone (561) 366-4100

Other identifiers 1

IdentifierTypeStateIssuer
122241700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240514004168 FL Practitioner - Medical OncologyPractitioner - Hematology 7911243852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 N Flagler Dr
Florida Cancer Specialists PL
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.070176ILMDObstetrics & Gynecology Physician
ME167697FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jun 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jun 18, 2021 Accepting new patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Jun 18, 2021 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Jun 18, 2023 Accepting new patients

Locations

21020 State Road 7
Ste 200C
Boca Raton, FL 33428
Phone (561) 409-1071

21020 State Road 7
#200C
Boca Raton, FL 33428
Phone (561) 409-1071

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4801 S Congress Ave
Ste 400
Palm Springs, FL 33461

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401

111 E 210th St
Bronx, NY 10467

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 4

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1821529181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21020 State Road 7 # 200C",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281320",
            "country_code": "US",
            "telephone_number": "561-409-1071",
            "fax_number": "833-408-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 S Congress Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334614746",
            "country_code": "US",
            "telephone_number": "561-366-4100",
            "fax_number": "561-439-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "EVAN",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125.070176",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME167697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122241700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.