Individual provider Active NPI

Nat Elliot Levinson, M.D.

  • Pulmonary Disease Physician
  • Scranton, PA
National Provider Identifier
1942288212
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD022766E Issued in PA
Practice address
432 Scranton Carbondale Hwy
Scranton, PA 18508
Phone
(570) 346-8620
Fax
(570) 207-9394
NPI assigned
Jan 5, 2006
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD022766E PA Primary

Addresses

Primary practice location

432 Scranton Carbondale Hwy
Scranton, PA 18508

Mailing address

435 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Phone (570) 346-8620

Other practice location 1

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-0161

Other identifiers 1

IdentifierTypeStateIssuer
1122859MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlevinson102055@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051109000279 PA Practitioner - Pulmonary DiseasePractitioner - Other (Physician) 4385662238 Reassigns benefits to 1 organization
Practice locations: Scranton, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022766EPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Dec 17, 2018 Accepting new patients
Commonwealth Physician Network LLC PastSince Oct 22, 2017 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

435 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 343-4334

Interoperability endpoints

  • Direct secure messaging: nlevinson102055@direct.geisinger.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1942288212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-346-8620",
            "fax_number": "570-207-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-346-8620",
            "fax_number": "570-207-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102369",
            "country_code": "US",
            "telephone_number": "570-969-0161",
            "fax_number": "570-969-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "NAT",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD022766E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122859",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlevinson102055@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1800 Mulberry St",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185102369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.