Individual provider Active NPI

Marc Joseph Levine, MD

  • Interventional Cardiology Physician
  • Garden City, KS
National Provider Identifier
1356306153
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
04-50874 Issued in KS
Practice address
401 E Spruce St
Garden City, KS 67846-5679
Phone
(620) 272-2431
Fax
(620) 272-2101
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-50874 KS
Cardiovascular Disease Physician 207RC0000X 9489 NM
Cardiovascular Disease Physician 207RC0000X 04-50874 KS
Cardiovascular Disease Physician 207RC0000X H9672 TX
Interventional Cardiology Physician 207RI0011X 04-50874 KS Primary

Addresses

Primary practice location

401 E Spruce St
Garden City, KS 67846-5679

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-7800

Other practice location 1

3514 21st St
Lubbock, TX 79410-1210
Phone (806) 725-1801

Other identifiers 1

IdentifierTypeStateIssuer
105358903MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031106000546 TX Practitioner - Cardiovascular Disease (Cardiology) 7719890748 Reassigns benefits to 1 organization
I20040413001232 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7719890748 Reassigns benefits to 1 organization
I20250429002539 KS Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7719890748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431

Hospital & facility affiliations

  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Bob Wilson Memorial Hospital Hospital, Ulysses, KS, CCN 171388
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175
  • Kansas Heart Hospital Hospital, Wichita, KS, CCN 170186

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-50874KSMDCardiovascular Disease Physician
9489NMMDCardiovascular Disease Physician
H9672TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Kansas, Inc. Current Accepting new patients
Commonspirit Kansas, Inc. Cardiovascular Disease CurrentSince May 1, 2025 Accepting new patients
Covenant Medical Center CurrentSince Jul 20, 2020 Accepting new patients
St Catherine Hospital CurrentSince May 1, 2025 Accepting new patients
St. Vincent Hospital CurrentSince Jul 25, 2022 Accepting new patients
St Vincent Hospital Current Accepting new patients
St. Vincent Hospital CurrentSince Jul 25, 2022 Accepting new patients
Roosevelt County Special Hospital District Cardiovascular Disease Past Accepting new patients
Southwest Medical Associates, LLC Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

2237 Trinity Dr
Ste B
Los Alamos, NM 87544
Phone (505) 662-8870

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

1631 Hospital Dr
Ste 110
Santa Fe, NM 87505
Phone (505) 982-7246

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

Interoperability endpoints

  • Direct secure messaging: mlevine283722@christushealth.direct-ci.net

Organizations & group practices 10

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 6

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1356306153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-725-7800",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465679",
            "telephone_number": "620-272-2431",
            "fax_number": "620-272-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3514 21st St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101210",
            "country_code": "US",
            "telephone_number": "806-725-1801",
            "fax_number": "806-723-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-50874",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "9489",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-50874",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H9672",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-50874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105358903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.