Individual provider Active NPI

Alan R Levinstone, M.D.

  • Internal Medicine Physician
  • Centreville, VA
National Provider Identifier
1992709265
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101-049277 Issued in VA
Practice address
5895 Trinity Pkwy
Suite 100
Centreville, VA 20120-1996
Phone
(703) 802-2004
Fax
(703) 802-2113
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101-049277 VA Primary
Neurology Physician 2084N0400X 0101-049277 VA

Addresses

Primary practice location

5895 Trinity Pkwy
Suite 100
Centreville, VA 20120-1996

Mailing address

5895 Trinity Pkwy
Suite 100
Centreville, VA 20120-1996
Phone (703) 802-2004

Other identifiers 6

IdentifierTypeStateIssuer
832732OtherVAMDIPA OPTIMUM CHOICE
110215875OtherVAMEDICARE RAILROAD
201662OtherVAANTHEM
607850-8MedicaidVA
0101-049277OtherVALICENSE
B518OtherVACAPITAL CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101115000034 DC Practitioner - Internal MedicinePractitioner - Neurology 8921107343 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-049277VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Centreville Medical Associates Internal Medicine CurrentSince Jul 19, 1993 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5895 Trinity Pkwy
Ste 100
Centreville, VA 20120
Phone (703) 802-2004

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17938/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1992709265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 TRINITY PKWY",
            "address_2": "SUITE 100",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201996",
            "telephone_number": "703-802-2004",
            "fax_number": "703-802-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 TRINITY PKWY",
            "address_2": "SUITE 100",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201996",
            "telephone_number": "703-802-2004",
            "fax_number": "703-802-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSTONE",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-049277",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101-049277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA OPTIMUM CHOICE",
            "identifier": "832732",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110215875",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "201662",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607850-8",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101-049277",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL CARE",
            "identifier": "B518",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.