Individual provider Active NPI

Alan J Levin, MD

  • Dermatology Physician
  • Tucson, AZ
National Provider Identifier
1891722278
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15559 Issued in AZ
Practice address
1595 E River Rd
Suite 201
Tucson, AZ 85718-5981
Phone
(520) 293-5757
Fax
(520) 293-7358
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15559 AZ Primary

Addresses

Primary practice location

1595 E River Rd
Suite 201
Tucson, AZ 85718-5981

Mailing address

1595 E River Rd
Suite 201
Tucson, AZ 85718-5981
Phone (520) 293-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100127000753 AZ Practitioner - Dermatology 8224170378 Practice locations: Tucson, AZ

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1891722278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "15559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.