Individual provider Active NPI

Dov Levine, DO

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1124002084
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2116 Issued in AZ
Practice address
5410 W Thunderbird Rd Ste 101
Glendale, AZ 85306-4711
Phone
(602) 530-6189
Fax
(602) 548-2292
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K6878 TX
Family Medicine Physician 207Q00000X 2116 AZ Primary

Addresses

Primary practice location

5410 W Thunderbird Rd Ste 101
Glendale, AZ 85306-4711

Mailing address

5410 W Thunderbird Rd Ste 101
Glendale, AZ 85306-4711
Phone (602) 530-6189

Other identifiers 1

IdentifierTypeStateIssuer
092371601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091020000663 AZ Practitioner - Family Practice 0749294452 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2116AZMDFamily Medicine Physician
00000000TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Oct 1, 2014 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Feb 25, 2024 Accepting new patients
McBroom Clinic PA Family Medicine Past Accepting new patients
The Paull Allergy & Asthma Clinic, P.a Past Accepting new patients
Winnie-Stowell Hospital District PastSince Apr 30, 2003 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations (25 of 32)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

2530 W State Route 89A
Ste A
Sedona, AZ 86336
Phone (520) 203-4813

14800 W Mountain View Blvd
Ste 190
Surprise, AZ 85374
Phone (623) 385-7299

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19983/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1124002084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 W THUNDERBIRD RD STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064711",
            "telephone_number": "602-530-6189",
            "fax_number": "602-548-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 W THUNDERBIRD RD STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064711",
            "telephone_number": "602-530-6189",
            "fax_number": "602-548-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DOV",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6878",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092371601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.