Individual provider Active NPI

Phillip R. Levine, M.D.

  • Internal Medicine Physician
  • Verona, PA
National Provider Identifier
1053571240
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD026245L Issued in PA
Practice address
39 Winding Way
Verona, PA 15147-3886
Phone
(412) 826-4822
Fax
(412) 963-9702
NPI assigned
Jun 11, 2008
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD026245L PA Primary

Addresses

Primary practice location

39 Winding Way
Verona, PA 15147-3886

Mailing address

39 Winding Way
Verona, PA 15147-3886
Phone (412) 826-4822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026245LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Family Practice Assoc., LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

1517 Forbes Ave
Pittsburgh, PA 15219
Phone (412) 232-3555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1053571240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WINDING WAY",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473886",
            "telephone_number": "412-826-4822",
            "fax_number": "412-963-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WINDING WAY",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473886",
            "telephone_number": "412-826-4822",
            "fax_number": "412-963-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "PHILLIP",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026245L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, PA

Sources for this page

Verify at the official NPI Registry.