Individual provider Active NPI

Jason M Levine, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1225019904
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28954 Issued in AZ
Practice address
6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151
Phone
(520) 327-3487
Fax
(520) 327-3488
NPI assigned
Nov 9, 2005
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28954 AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151

Mailing address

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Other practice location 1

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Other practice location 2

395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981
Phone (520) 327-3487

Other identifiers 1

IdentifierTypeStateIssuer
712423MedicaidAZ

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
I20031230000496 AZ Practitioner - Ophthalmology 4880592690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean J McCafferty MD PCGroup PAC ID 9931187325, 17 clinicians

Practice addresses (Care Compare)

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2981
Phone (520) 327-3487

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 327-3487

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery167
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28954AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea Associates, PLLC Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients
Christopher M Seniw MD PC Ophthalmology CurrentSince Oct 13, 2024 Accepting new patients
Banner-University Medical Group Family Medicine Past Accepting new patients

Locations

6422 E Speedway Blvd
Tucson, AZ 85710

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

Interoperability endpoints

  • Direct secure messaging: jlevine@aec.emadirect.md

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, 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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1225019904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-327-3487",
            "fax_number": "520-327-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101151",
            "telephone_number": "520-327-3487",
            "fax_number": "520-327-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 N Silverbell Rd Ste 355",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452981",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "28954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.