Individual provider Active NPI

Barry S. Levin, M.D.

  • Internal Medicine Physician
  • Lake Forest, IL
National Provider Identifier
1043324254
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-075027 Issued in IL
Practice address
915 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2654
Phone
(224) 516-4108
Fax
(224) 516-4116
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-075027 IL
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 036-075027 IL
Internal Medicine Physician 207R00000X 036-075027 IL Primary

Addresses

Primary practice location

915 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2654

Mailing address

915 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2654
Phone (224) 516-4108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040805000247 IL Practitioner - Internal MedicinePractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 6305817016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

915 S Waukegan Rd
Lake Forest, IL 60045-2654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-075027ILMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Anesthesiology CurrentSince Feb 11, 2022 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Feb 11, 2022 Accepting new patients
Merit Lincoln Park, LLC Anesthesiology Past Accepting new patients
Lake Shore Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
The Board of Trustees of the University of Illinois PastSince Apr 6, 2023 Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

4646 N Marine Dr
Fl 6
Chicago, IL 60640
Phone (773) 564-6150

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

9532 Eagle Way
Chicago, IL 60678

4646 N Marine Dr
Fl 8
Chicago, IL 60640
Phone (630) 537-1694

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

915 S Waukegan Rd
Ste 200
Lake Forest, IL 60045
Phone (224) 516-4108

915 S Waukegan Rd
Lake Forest, IL 60045
Phone (847) 234-8866

Interoperability endpoints

  • Direct secure messaging: barry.levin.1@18552.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1043324254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S WAUKEGAN RD STE 200",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452654",
            "telephone_number": "224-516-4108",
            "fax_number": "224-516-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S WAUKEGAN RD STE 200",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452654",
            "telephone_number": "224-516-4108",
            "fax_number": "224-516-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "BARRY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-075027",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IL",
            "license": "036-075027",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-075027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.