Individual provider Active NPI

Michael Lee Levin, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1902906753
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D06085 Issued in MD
Practice address
2835 Smith Ave
Suite 207
Baltimore, MD 21209-1453
Phone
(401) 484-0102
Fax
(410) 580-0773
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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 D06085 MD Primary

Addresses

Primary practice location

2835 Smith Ave
Suite 207
Baltimore, MD 21209-1453

Mailing address

2835 Smith Ave
Suite 207
Baltimore, MD 21209-1453
Phone (401) 484-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20131125000572 MD Practitioner - Internal MedicinePractitioner - Infectious Disease 9739162546 Practice locations: Baltimore, MD

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1902906753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091453",
            "telephone_number": "401-484-0102",
            "fax_number": "410-580-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "address_2": "SUITE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091453",
            "telephone_number": "401-484-0102",
            "fax_number": "410-580-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D06085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.