Individual provider Active NPI

Emily Russell Levy, DO

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1073199626
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0072125 Issued in CO
Practice address
1960 N Ogden St Ste 400
Denver, CO 80218-3670
Phone
(303) 318-1540
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 DR.0072125 CO Primary

Addresses

Primary practice location

1960 N Ogden St Ste 400
Denver, CO 80218-3670

Mailing address

835 E 18TH Ave
Denver, CO 80218-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250513003855 CO Practitioner - Internal Medicine 9638575285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rocky Vista University College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

835 E 18TH Ave,
110 Midtown Inpatient Medicine
Denver, CO 80218-1024
Phone (303) 825-4646

Hospital & facility affiliations

  • Intermountain Health Hospice - Denver Hospice, Wheat Ridge, CO, CCN 061508
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince May 1, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 1, 2025 Accepting new patients
Good Samaritan Medical Center, LLC Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

1960 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-1540

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

Organizations & group practices 4

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1073199626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183670",
            "telephone_number": "303-318-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL LEVY",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0072125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.