Individual provider Active NPI

Richard A Levy, M.D.

  • Pediatric Endocrinology Physician
  • Chicago, IL
National Provider Identifier
1265431381
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
036-072506 Issued in IL
Practice address
2740 W Foster Ave Ste 316
Chicago, IL 60625-3547
Phone
(773) 769-9200
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036072506 IL
Pediatric Endocrinology Physician 2080P0205X 036-072506 IL Primary

Addresses

Primary practice location

2740 W Foster Ave Ste 316
Chicago, IL 60625-3547

Mailing address

2740 W Foster Ave Ste 316
Chicago, IL 60625-3547
Phone (773) 769-9200

Other identifiers 2

IdentifierTypeStateIssuer
036072506MedicaidIL
31602670OtherILBCBSIL GROUP #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlevy277075@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000407 IL Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 0547155210 Reassigns benefits to 2 organizations
I20250811003855 MN Practitioner - Internal Medicine 0547155210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

1313 Penn N Ave
Minneapolis, MN 55411-3047
Phone (612) 543-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-072506ILMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2018 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Dec 1, 2018 Accepting new patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince Apr 28, 2025 Accepting new patients
Hennepin County CurrentSince Apr 28, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 12, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 12, 2021 Accepting new patients
B Jercinovic Pediatrics LTD Past Accepting new patients
Ucm Medical Group Sub, LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Cressa Perish MD SC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2740 W Foster Ave
Ste 316
Chicago, IL 60625
Phone (773) 561-8481

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

1725 W Harrison St
Ste 328
Chicago, IL 60612
Phone (312) 942-8106

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2220 Plymouth Ave N
Minneapolis, MN 55411
Phone (612) 543-2500

1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600

Interoperability endpoints

  • Direct secure messaging: rlevy277075@direct.northshore.org
  • Direct secure messaging: richard.levy.1@17857.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1265431381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-769-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-769-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036072506",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036-072506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072506",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP #",
            "identifier": "31602670",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlevy277075@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2740 W Foster Ave Ste 316",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.