Individual provider Active NPI

Paul R Leva, MD

  • Internal Medicine Physician
  • Northport, NY
National Provider Identifier
1841222577
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
173118 Issued in NY
Practice address
320 Laurel Rd
Northport, NY 11768-3138
Phone
(631) 261-0158
Fax
(631) 261-0296
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 173118 NY Primary

Addresses

Primary practice location

320 Laurel Rd
Northport, NY 11768-3138

Mailing address

320 Laurel Rd
Northport, NY 11768-3138
Phone (631) 261-0158

Other identifiers 12

IdentifierTypeStateIssuer
000000059073OtherNYGHI HMO
173118OtherNYHIP
5352101OtherNYAETNA PPO
0088949OtherNYGHI PPO
0P4162OtherNYEMPIRE BCBS OF NY
2C7927OtherNYHEALTHNET
CG6264OtherNYRAILROAD MEDICARE
01065030MedicaidNY
0462576OtherNYAETNA HMO
17E412OtherNYEMPIRE BCBS OF NY
CG6265OtherNYRAILROAD MEDICARE
P378023OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070509000068 NY Practitioner - Internal Medicine 4183720196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94
E9
Elmhurst, NY 11373-5151
Phone (718) 699-9737

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as individual
Quality
81.55
Improvement activities
40
Cost
72.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173118NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Northport Primary Medical Care, P.C. Internal Medicine CurrentSince Oct 1, 2006 Accepting new patients

Locations

9406 59th Ave
Ste E9
Elmhurst, NY 11373
Phone (718) 699-9737

320 Laurel Rd
Northport, NY 11768
Phone (631) 261-0158

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: paul.leva@don.eclinicaldirectplus.com

Organizations & group practices 1

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 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1841222577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LAUREL RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683138",
            "telephone_number": "631-261-0158",
            "fax_number": "631-261-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LAUREL RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683138",
            "telephone_number": "631-261-0158",
            "fax_number": "631-261-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVA",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "173118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000059073",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "173118",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5352101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0088949",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS OF NY",
            "identifier": "0P4162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C7927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6264",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01065030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0462576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS OF NY",
            "identifier": "17E412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6265",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P378023",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.