Individual provider Active NPI

Mark Levandovsky, MD

  • Hematology & Oncology Physician
  • Grand Junction, CO
National Provider Identifier
1922267285
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0055418 Issued in CO
Practice address
750 Wellington Ave
Grand Junction, CO 81501
Phone
(970) 298-7500
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 236596 NY
Hematology & Oncology Physician 207RH0003X 6634 AK
Hematology & Oncology Physician 207RH0003X 0055418 CO Primary

Addresses

Primary practice location

750 Wellington Ave
Grand Junction, CO 81501

Mailing address

1200 Airport Heights Drive, Suite 101
Anchorage, AK 99508
Phone (907) 276-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 7, 2020 through Oct 7, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0055418COMDHematology & Oncology Physician
236596NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Inpatient Services Medical Group, Inc Past Accepting new patients
Katmai Oncology Group, LLC Hematology & Oncology PastSince May 22, 2022 Accepting new patients
Katmai Oncology Group, LLC PastSince Feb 14, 2021 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients
Alaska Urological Institute PC Hematology & Oncology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1922267285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DRIVE, SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-276-2803",
            "fax_number": "907-276-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-298-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANDOVSKY",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "236596",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": "6634",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "0055418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.