Individual provider Active NPI

Michael H Lev, MD

  • Neuroradiology Physician
  • Boston, MA
National Provider Identifier
1962492033
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
59372 Issued in MA
Practice address
55 Fruit St
Neuroradiology GRB 241H
Boston, MA 02114-2621
Phone
(617) 724-7125
Fax
(617) 724-3338
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59372 MA
Neuroradiology Physician 2085N0700X 59372 MA Primary
Diagnostic Radiology Physician 2085R0202X 59372 MA

Addresses

Primary practice location

55 Fruit St
Neuroradiology GRB 241H
Boston, MA 02114-2621

Mailing address

PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 726-8321

Other identifiers 3

IdentifierTypeStateIssuer
3121569MedicaidMA
735978OtherMATUFTS HEALTH PLAN
J14493OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050426001272 MA Practitioner - Diagnostic Radiology 5597704874 Reassigns benefits to 4 organizations
I20240319000678 NH Practitioner - Diagnostic Radiology 5597704874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians
Mass General Brigham Urgent Care LLCGroup PAC ID 9436470119, 106 clinicians

Practice addresses (Care Compare)

Newton, MA 02459-1127
Phone (617) 643-0003

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

137 Stuart St
Suite a 7
Boston, MA 02116-5609
Phone (888) 980-0505

300 1St Ave
Charlestown, MA 02129-3109
Phone (617) 952-5000

425 Washington St
Woburn, MA 01801-2157
Phone (781) 342-4386

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

67 Corporate Dr
BLDG a
Portsmouth, NH 03801-2847
Phone (603) 431-5529

71 Needham St
Newton, MA 02461-1663
Phone (857) 598-4460

90 Brigham Way
Westwood, MA 02090-2444
Phone (774) 231-1941

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Martha'S Vineyard Hospital Inc Hospital, Oak Bluffs, MA, CCN 221300
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59372MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 1, 2006 Accepting new patients
General Hospital Corp Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 16, 2019 Accepting new patients
The Shriners' Hospital for Children Current Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jan 25, 1994 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 10, 2021 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 16, 2019 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 10, 2021 Accepting new patients

Locations

55 Fruit St
#241H
Boston, MA 02114
Phone (617) 724-7125

55 Fruit St
Ste 273A
Boston, MA 02114

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

62 13th St
Ste 102
Charlestown, MA 02129

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

67 Corporate Dr
Bldg A
Portsmouth, NH 03801
Phone (603) 431-5529

Interoperability endpoints

  • Direct secure messaging: lev.michael.mgh@direct.partners.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1962492033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-8321",
            "fax_number": "617-724-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "NEURORADIOLOGY GRB 241H",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-7125",
            "fax_number": "617-724-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEV",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59372",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "59372",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "59372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121569",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "735978",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J14493",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.