Individual provider Active NPI

Rebecca J. Levine, M.D.

  • Family Medicine Physician
  • South Jordan, UT
National Provider Identifier
1316986136
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332920-1205 Issued in UT
Practice address
1868 W 9800 S
Suite 100
South Jordan, UT 84095-4713
Phone
(801) 433-2873
Fax
(801) 433-5734
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 332920-1205 UT Primary

Addresses

Primary practice location

1868 W 9800 S
Suite 100
South Jordan, UT 84095-4713

Mailing address

1868 W 9800 S
Suite 100
South Jordan, UT 84095-4713
Phone (801) 433-2873

Other identifiers 1

IdentifierTypeStateIssuer
1316986136OtherUTNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040812000100 UT Practitioner - Family Practice 0345212098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1868 W 9800
Suite 100
South Jordan, UT 84095-4713
Phone (801) 433-2873

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Levine, MD, PLLC Family Medicine CurrentSince Feb 1, 2002 Accepting new patients
Katie a Julien MD PC Current Accepting new patients
Piacitelli FM LLC Family Medicine Current Accepting new patients
Sojourner Health PC Family Medicine Current Accepting new patients
Michael D Jones MD PC Current Accepting new patients
Tessa Lee MD Current Accepting new patients
Andrew Robinson D O LLC Family Medicine Current Accepting new patients
Benjamin N Storz MD PLLC Family Medicine Past Accepting new patients

Locations

1868 W 9800 S
#100
South Jordan, UT 84095
Phone (801) 285-8848

Organizations & group practices 8

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1316986136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S",
            "address_2": "SUITE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954713",
            "telephone_number": "801-433-2873",
            "fax_number": "801-433-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S",
            "address_2": "SUITE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954713",
            "telephone_number": "801-433-2873",
            "fax_number": "801-433-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "REBECCA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "332920-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316986136",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.