Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Levi Porter, PAC

Individual provider Physician Assistant · NPI 1225111834

Levi Porter, PAC is a Physician Assistant in Phoenix, Arizona. Qualified in 1998, 28 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
28
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

19636 N 27th Ave Ste 106
Phoenix, AZ 85027-4013
Phone: (623) 516-8252
Fax: (623) 516-8253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2778 (AZ)

Record details

NPI number1225111834
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESApril 18, 2014
Mailing address5281 N 99th Ave, Suite 100, Glendale, AZ 85305-3105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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