Active NPI
Med Flight Air Ambulance Inc
- Air Ambulance
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- F00010
- Legal business name
- MED FLIGHT AIR AMBULANCE INC
- Practice address
- 2301 Yale Blvd SE
Ste D3
Albuquerque, NM 87106-4355 - Phone
- (505) 842-4433
- Fax
- (505) 842-4436
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry D Levy, MD
- Title
- Ceo
- Phone
- (505) 842-4433
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | F00010 | NM | Primary |
| Air Ambulance | 3416A0800X | 071005 | TX | |
| Air Ambulance | 3416A0800X | 2927L | UT | |
| Air Ambulance | 3416A0800X | 3430 | NV |
Addresses
Primary practice location
2301 Yale Blvd SE
Ste D3
Albuquerque, NM 87106-4355
Mailing address
2301 Yale Blvd SE
Ste D3
Albuquerque, NM 87106-4355
Phone (505) 842-4433
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032-02300 | Medicaid | NV | |
| ME578959 | Medicaid | KS | |
| R1157 | Medicaid | NM | |
| XMTA05973 | Medicaid | CA | |
| 0733404-01 | Medicaid | TX | |
| 804585 | Medicaid | AZ | |
| 96001474 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100630000040 | NM | Part B Supplier - Ambulance Service Supplier | 1254368889 | Practice locations: Albuquerque, NM |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D1027321 | Med Flight Air Ambulance Inc | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
2301 Yale Blvd SE
Ste D3
Albuquerque, NM 87106
Phone (505) 330-9300
6825 Convair Rd
El Paso, TX 79925
Phone (915) 772-9292
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Albuquerque, NM
- NPI 1124321765
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1891307823
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1053972158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1952307126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE",
"address_2": "STE D3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064355",
"telephone_number": "505-842-4433",
"fax_number": "505-842-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 YALE BLVD SE",
"address_2": "STE D3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064355",
"telephone_number": "505-842-4433",
"fax_number": "505-842-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED FLIGHT AIR AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-842-4433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "NM",
"license": "F00010",
"primary": true
},
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "TX",
"license": "071005",
"primary": false
},
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "UT",
"license": "2927L",
"primary": false
},
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "NV",
"license": "3430",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0032-02300",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ME578959",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R1157",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XMTA05973",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0733404-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804585",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96001474",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.