Organization Active NPI

Levine, Robert E. MD, a Medical Corporation

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1245534254
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G14579 Issued in CA
Legal business name
LEVINE, ROBERT E. MD, A MEDICAL CORPORATION
Practice address
9001 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-1841
Phone
(310) 860-0800
Fax
(310) 773-9208
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Robert Ernest Levine, M.DNPI 1144222977
Title
President
Phone
(310) 860-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G14579 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-1841

Mailing address

9001 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-1841
Phone (310) 860-0800

Other identifiers 1

IdentifierTypeStateIssuer
G14579OtherCAMEDICARE ID- TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118001084 CA Part B Supplier - Clinic/Group Practice 0547459802 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

201 S Alvarado St
Ste 500
Los Angeles, CA 90057
Phone (213) 413-7300

9201 W Sunset Blvd
Ste 709
West Hollywood, CA 90069
Phone (310) 275-5533

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1245534254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111841",
            "telephone_number": "310-860-0800",
            "fax_number": "310-773-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111841",
            "telephone_number": "310-860-0800",
            "fax_number": "310-773-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE, ROBERT E. MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-860-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G14579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "G14579",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.