Individual provider Active NPI

Jordan Levine, MD

  • Urology Physician
  • Baltimore, MD
National Provider Identifier
1184204455
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0105879 Issued in MD
Practice address
1838 Greene Tree Rd Ste 460
Baltimore, MD 21208-7113
Phone
(410) 581-1600
Fax
(410) 581-1603
NPI assigned
Apr 12, 2021
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D0105879 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd Ste 460
Baltimore, MD 21208-7113

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-6713

Other practice location 2

5051 Greenspring Ave Ste 302
Baltimore, MD 21209-4358
Phone (410) 542-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260608003393 MD Practitioner - Urology 8729476106

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Buffalo School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10200 Grand Central Ave
Suite 220
Owings Mills, MD 21117-4165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0105879MDMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1184204455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 460",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087113",
            "telephone_number": "410-581-1600",
            "fax_number": "410-581-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5051 Greenspring Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212094358",
            "country_code": "US",
            "telephone_number": "410-542-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0105879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.