Individual provider Active NPI

Brian Saul Levitt, M.D.

  • Gastroenterology Physician
  • San Jose, CA
National Provider Identifier
1235257759
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A99206 Issued in CA
Practice address
231 Oconnor Dr
San Jose, CA 95128-1624
Phone
(408) 347-9001
Fax
(408) 347-9004
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A99206 CA Primary

Addresses

Primary practice location

231 Oconnor Dr
San Jose, CA 95128-1624

Mailing address

2340 Montpelier Dr
Suite a
San Jose, CA 95116-1622
Phone (408) 347-9002

Other practice location 1

2331 Montpelier Dr Ste B
San Jose, CA 95116-1673
Phone (408) 347-9001

Other identifiers 1

IdentifierTypeStateIssuer
00A992060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070829000836 CA Practitioner - Gastroenterology 3870686330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Jose Gastroenterology, Inc.Group PAC ID 5597745851, 11 clinicians

Practice addresses (Care Compare)

2331 Montpelier Dr
Suite B
San Jose, CA 95116-1673
Phone (408) 347-9001

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as individual
Quality
83.33
Improvement activities
40
Cost
66.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy241
Upper gastrointestinal (GI) endoscopy for acid reflux74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99206CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Gastroenterology, Inc. Gastroenterology CurrentSince Jul 1, 2007 Accepting new patients
O'Connor Hospital Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2331 Montpelier Dr
Ste B
San Jose, CA 95116
Phone (408) 347-9001

231 Oconnor Dr
San Jose, CA 95128
Phone (408) 213-3937

2340 Montpelier Dr
Ste A
San Jose, CA 95116
Phone (408) 347-9001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: blevitt125810@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1235257759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MONTPELIER DR",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161622",
            "telephone_number": "408-347-9002",
            "fax_number": "408-347-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Montpelier Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161673",
            "country_code": "US",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "BRIAN",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A99206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A992060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.