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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK LEVINE MD, MA
NPI 1821674763
Psychiatry & Neurology - Neuromuscular Medicine in Boston, MA

Active since March 22, 2021PECOS Enrolled

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 5, 2026, Oct 12, 2022, Mar 22, 2021 (3 updates tracked since 2021).

About Mark Levine Md, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK LEVINE MD, MA (NPI 1821674763) is an individual neuromuscular medicine provider in Boston, Massachusetts, licensed in Massachusetts (1021992) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1821674763
Entity TypeIndividualMale
Primary Taxonomy2084N0008X
Provider Legal NameMARK LEVINECredential: MD, MA
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696 · (404) 778-7777
Phone(617) 410-4534
Sole ProprietorYes
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1821674763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neuromuscular MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084N0008X
License✔ Licensed in MA · 1021992
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License 1021992 (MA)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 1021992 (MA)
55 FRUIT ST, Boston, MA 02114
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Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Levine Md, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Levine's NPI number?

The NPI number for Mark Levine is 1821674763. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Mark Levine located?

Mark Levine practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 410-4534.

What is Mark Levine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Is Mark Levine enrolled in Medicare?

Yes. Mark Levine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Levine was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.