Individual provider Active NPI

Levis M. Guzman, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1154363695
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11701 Issued in RI
Practice address
1 Warren Way
Providence, RI 02905-5000
Phone
(401) 444-0530
Fax
(401) 444-0423
NPI assigned
Jun 11, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 224785 MA
Internal Medicine Physician 207R00000X MD11701 RI Primary

Addresses

Primary practice location

1 Warren Way
Providence, RI 02905-5000

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050412000116 RI Practitioner - Internal Medicine 5496792475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224785MAMDInternal Medicine Physician
MD11701RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Medical Associates, LLC Internal Medicine Past Accepting new patients
Primary Care Medical Associates of Cranston Inc Internal Medicine PastSince Oct 1, 2003 Accepting new patients
The Miriam Hospital Past Accepting new patients
Santiago Medical Group, Inc. PastSince Mar 23, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: levis.guzman@954568341323780.direct.elationemr.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, 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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1154363695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARREN WAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055000",
            "telephone_number": "401-444-0530",
            "fax_number": "401-444-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "LEVIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "224785",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.