Organization Active NPI

Joe S Levy, M.D., P.C.

  • Allergy & Immunology Physician
  • Memphis, TN
National Provider Identifier
1932486388
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
05887 Issued in TN
Legal business name
JOE S LEVY, M.D., P.C.
Practice address
6263 Poplar Ave Ste 525
Memphis, TN 38119-4701
Phone
(901) 682-0430
Fax
(901) 680-0363
NPI assigned
Nov 14, 2011
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Dr. Joe S Levy, MPNPI 1023001781
Title
Owner
Phone
(901) 682-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 05887 TN Primary

Addresses

Primary practice location

6263 Poplar Ave Ste 525
Memphis, TN 38119-4701

Mailing address

6263 Poplar Ave Ste 525
Memphis, TN 38119-4701
Phone (901) 682-0430

Other identifiers 1

IdentifierTypeStateIssuer
1023001781OtherTNINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000764 TN Part B Supplier - Clinic/Group Practice 1052579588 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

5575 Poplar Ave
#708
Memphis, TN 38119

5575 Poplar Ave
Ste 708
Memphis, TN 38119
Phone (901) 682-0430

6263 Poplar Ave
Ste 525
Memphis, TN 38119
Phone (901) 682-0430

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1932486388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE STE 525",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194701",
            "telephone_number": "901-682-0430",
            "fax_number": "901-680-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE STE 525",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194701",
            "telephone_number": "901-682-0430",
            "fax_number": "901-680-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE S LEVY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-682-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MP"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "05887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023001781",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.