Individual provider Active NPI

Evan S Levine, M.D.

  • Cardiovascular Disease Physician
  • Ridgefield, CT
National Provider Identifier
1366488538
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
61430 Issued in CT
Practice address
598 Danbury Rd
Ridgefield, CT 06877-2718
Phone
(917) 748-8898
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 169258 NY
Cardiovascular Disease Physician 207RC0000X 61430 CT Primary

Addresses

Primary practice location

598 Danbury Rd
Ridgefield, CT 06877-2718

Mailing address

170 Lounsbury Rd
Ridgefield, CT 06877-4725
Phone (917) 748-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040904000146 NY Practitioner - Cardiovascular Disease (Cardiology) 7214903830 Reassigns benefits to 2 organizations
I20180913001293 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214903830 Reassigns benefits to 1 organization
Practice locations: Ridgefield, CT

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of Medicine of New York UniversityGroup PAC ID 6709919863, 30 clinicians

Practice addresses (Care Compare)

341 Central Park Ave
Scarsdale, NY 10583-1301
Phone (914) 779-2995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169258NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Jun 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Aug 17, 2011 Accepting new patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Aug 17, 2011 Accepting new patients
Prohealth Physicians PC CurrentSince Jul 25, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease Past Accepting new patients

Locations

96 Danbury Rd
Ridgefield, CT 06877
Phone (203) 438-0874

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

111 E 210th St
Bronx, NY 10467

116 Fifth Ave
Pelham, NY 10803
Phone (914) 738-0005

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

341 Central Park Ave
Fl 2
Scarsdale, NY 10583

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1366488538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 LOUNSBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774725",
            "telephone_number": "917-748-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772718",
            "telephone_number": "917-748-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "EVAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "169258",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "61430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.