Active NPI
Robert M. Levin, M.D., M.P.H.
- Psychiatry Physician
- Belmont, MA
National Provider Identifier
1043305576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43693
- Practice address
- 113 Belmont St
Belmont, MA 02478-3603 - Phone
- (617) 489-6636
- Fax
- (617) 489-6636
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43693 | MA | Primary |
Addresses
Primary practice location
113 Belmont St
Belmont, MA 02478-3603
Mailing address
113 Belmont St
Belmont, MA 02478-3603
Phone (617) 489-6636
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-2731
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014479 | Medicaid | MA | |
| 164561000 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
| 043693 | Other | MA | TUFTS HEALTH PLAN |
| B11635 | Other | MA | BLUE CROSS/BLUE SHIELD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rlevin23120@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080407000198 | MA | Practitioner - Psychiatry | 2567549116 | Practice locations: Belmont, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Jefferson Medical College of Thomas Jefferson University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
113 Belmont St
Belmont, MA 02478-3603
Phone (617) 489-6636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43693 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Auburn Hospital | Past | Accepting new patients |
Interoperability endpoints
- rlevin23120@umassmemorial.direct-ci.com
Organizations & group practices 1
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.
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1649254491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1043305576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BELMONT ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783603",
"telephone_number": "617-489-6636",
"fax_number": "617-489-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 BELMONT ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783603",
"telephone_number": "617-489-6636",
"fax_number": "617-489-6636"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-2731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVIN",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "43693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3014479",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "164561000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "043693",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "B11635",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rlevin23120@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "279 Lincoln St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016052120",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "279 Lincoln St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016052120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.