Active NPI
Leslie Levine, M.D.
- Internal Medicine Physician
- Boca Raton, FL
National Provider Identifier
1366481939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 64720
- Practice address
- 660 Glades Rd
Suite 310
Boca Raton, FL 33431-6465 - Phone
- (561) 361-3133
- Fax
- (561) 361-9695
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 64720 | FL | Primary |
Addresses
Primary practice location
660 Glades Rd
Suite 310
Boca Raton, FL 33431-6465
Mailing address
660 Glades Rd
Suite 310
Boca Raton, FL 33431-6465
Phone (561) 361-3133
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27972 | Other | FL | BLUE CROSS BLUE SHIELD FLA |
| WDQ97 | Other | FL | EMPIRE BLUE CROSS BLUE SHIELD |
| 0005525148 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 64720 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Palm Primary Care LLC | Current | Accepting new patients |
Locations
670 Glades Rd
Ste 110
Boca Raton, FL 33431
Phone (561) 289-9467
660 Glades Rd
Ste 310
Boca Raton, FL 33431
Phone (561) 361-3133
Interoperability endpoints
- leslie.levine@levine.direct.emedrec.us
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Boca Raton, FL
- NPI 1306413455
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": "1210896000000",
"number": "1366481939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GLADES RD",
"address_2": "SUITE 310",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316465",
"telephone_number": "561-361-3133",
"fax_number": "561-361-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 GLADES RD",
"address_2": "SUITE 310",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316465",
"telephone_number": "561-361-3133",
"fax_number": "561-361-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "LESLIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 64720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FLA",
"identifier": "27972",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
"identifier": "WDQ97",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005525148",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.