Organization Active NPI

Med Flight Air Ambulance Inc

  • Air Ambulance
  • Albuquerque, NM
National Provider Identifier
1952307126
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
F00010 Issued in NM
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

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Larry D Levy, MDNPI 1124321765
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0032-02300MedicaidNV
ME578959MedicaidKS
R1157MedicaidNM
XMTA05973MedicaidCA
0733404-01MedicaidTX
804585MedicaidAZ
96001474MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000040 NM Part B Supplier - Ambulance Service Supplier 1254368889 Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D1027321Med Flight Air Ambulance Inc2301 Yale SE Suite #D3, Albuquerque, NM 87106Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.