Individual provider Active NPI

Levi Andrew Rice Jr., D.O.

  • Interventional Cardiology Physician
  • Durango, CO
National Provider Identifier
1306176235
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
DR.0061835 Issued in CO
Practice address
1 Mercado St Ste 130
Durango, CO 81301-7306
Phone
(970) 247-1120
Fax
(970) 247-1128
NPI assigned
Dec 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X N5359 TX
Interventional Cardiology Physician 207RI0011X DR.0061835 CO Primary
Interventional Cardiology Physician 207RI0011X N5359 TX

Addresses

Primary practice location

1 Mercado St Ste 130
Durango, CO 81301-7306

Mailing address

221 W. Colorado Blvd.
Pavilion II Suite 831
Dallas, TX 75208
Phone (214) 933-7430

Other practice location 1

221 W. Colorado Blvd.
Pavilion II Suite 831
Dallas, TX 75208
Phone (214) 933-7430

Other practice location 2

4560 Lake Ridge Pkwy Ste 300
Grand Prairie, TX 75052-1706
Phone (817) 473-6867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110524000621 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9234315425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1310 B Paluxy Rd
Suite 3000
Granbury, TX 76048-5655
Phone (817) 579-3906

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5359TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates of TX PA CurrentSince Oct 1, 2016 Accepting new patients
Hood Medical Group CurrentSince Jul 19, 2022 Accepting new patients
Medhealth CurrentSince Oct 1, 2020 Accepting new patients
Hood Medical Group CurrentSince Jul 19, 2022 Accepting new patients
Medhealth CurrentSince Oct 1, 2020 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

221 W Colorado Blvd
Ste 831
Dallas, TX 75208
Phone (214) 942-0091

1310 Paluxy Rd
Ste 1400
Granbury, TX 76048
Phone (817) 579-3970

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1310 Paluxy Rd
Ste 3000
Granbury, TX 76048
Phone (817) 578-3910

4560 Lake Ridge Pkwy
Ste 300
Grand Prairie, TX 75052
Phone (214) 278-5000

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

851 Highway 287 N
Mansfield, TX 76063
Phone (817) 277-3999

2800 E Broad St
Ste 522
Mansfield, TX 76063
Phone (682) 242-8970

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: levi.rice.1@1293.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1261785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1306176235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD.",
            "address_2": "PAVILION II SUITE 831",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "214-933-7430",
            "fax_number": "214-947-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 130",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-247-1120",
            "fax_number": "970-247-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W. Colorado Blvd.",
            "address_2": "Pavilion II Suite 831",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75208",
            "country_code": "US",
            "telephone_number": "214-933-7430",
            "fax_number": "214-947-8609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 Lake Ridge Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750521706",
            "country_code": "US",
            "telephone_number": "817-473-6867",
            "fax_number": "817-473-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "LEVI",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-26",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N5359",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0061835",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N5359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.