Individual provider Active NPI

Barbara Susan Levy, M.D.

  • Gynecology Physician
  • La Jolla, CA
National Provider Identifier
1184629859
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G43461 Issued in CA
Practice address
1485 Deer Hill CT
La Jolla, CA 92037-7429
Phone
(253) 740-7350
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00019274 WA
Gynecology Physician 207VG0400X G43461 CA Primary

Addresses

Primary practice location

1485 Deer Hill CT
La Jolla, CA 92037-7429

Mailing address

1485 Deer Hill CT
La Jolla, CA 92037-7429
Phone (253) 740-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150420000405 DC Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0143113530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00019274WAMDSpecialist
G43461CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Levy, M.D., P.S. Specialist PastSince Jan 1, 2002 Accepting new patients
Planned Parenthood of the Pacific Southwest Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: barbara.levy.1@29536.direct.athenahealth.com

Organizations & group practices 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1184629859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 DEER HILL CT",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377429",
            "telephone_number": "253-740-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 DEER HILL CT",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377429",
            "telephone_number": "253-740-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "BARBARA",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-11-05",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00019274",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G43461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.