Individual provider Active NPI

Cheryl Lynn Levin, MD

  • Dermatology Physician
  • Newton, MA
National Provider Identifier
1326173154
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
250248 Issued in MA
Practice address
1172 Beacon St Ste 402
Newton, MA 02461-1150
Phone
(508) 630-6545
Fax
(650) 547-5446
NPI assigned
Feb 22, 2007
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 062910 GA
Dermatology Physician 207N00000X 19768 MN
Dermatology Physician 207N00000X A 105466 CA
Dermatology Physician 207N00000X 250248 MA Primary

Addresses

Primary practice location

1172 Beacon St Ste 402
Newton, MA 02461-1150

Mailing address

1172 Beacon St Ste 402
Newton, MA 02461-1150
Phone (508) 630-6545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clevinmd49983@direct.atrius.masshiway.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121106000324 MA Practitioner - Dermatology 2961541602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1172 Beacon St
Suite 402
Newton, MA 02461-1150
Phone (508) 630-6545

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions632
Removal of nail tissue1-10
Removal or shaving of skin growth78
Skin biopsy120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 105466CAMDDermatology Physician
19768MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levin Dermatology Dermatology CurrentSince Aug 30, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince Oct 15, 2012 Accepting new patients
Atrius Health, Inc. Dermatology CurrentSince Oct 15, 2012 Accepting new patients
Louis Kuchnir MD PC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Northside Dermatology Associates, P.C. Past Accepting new patients
Wesley S Wilborn MD PC Dermatology Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Boston, MA 02109
Phone (617) 421-2508

11 Apex Dr
Ste 103A
Marlborough, MA 01752
Phone (508) 485-7779

1 Maple St
Milford, MA 01757
Phone (508) 478-2610

1172 Beacon St
Ste 402
Newton Highlands, MA 02461
Phone (508) 630-6545

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1326173154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST STE 402",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611150",
            "telephone_number": "508-630-6545",
            "fax_number": "617-421-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST STE 402",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611150",
            "telephone_number": "508-630-6545",
            "fax_number": "650-547-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "062910",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "19768",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A 105466",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "250248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clevinmd49983@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "133 Brookline Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022153904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.