Active NPI
Jon I Levin, DO
- Surgery Physician
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A-926-91
- Practice address
- 1399 Weimer Rd
Suite # 600
Taos, NM 87571-6340 - Phone
- (575) 751-0334
- Fax
- (575) 751-0297
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A-926-91 | NM | Primary |
Addresses
Primary practice location
1399 Weimer Rd
Suite # 600
Taos, NM 87571-6340
Mailing address
1399 Weimer Rd
Suite # 600
Taos, NM 87571-6340
Phone (575) 751-0334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11348824 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000970 | NM | Practitioner - General Surgery | 3072408202 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029
2001 Lind Ave SW
Renton, WA 98057-3303
20555 Earl St
Torrance, CA 90503-3006
2215 Nashville Ave
Lubbock, TX 79410-1105
4400 NE Halsey St
Portland, OR 97213-1545
PO Box
Franklin, TN 37068-9022
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2381 | NM | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Current | Accepting new patients | |
| Covenant Medical Group | Surgery | Current | Accepting new patients |
| Jon I Levin DO PA | Surgery | Past | Accepting new patients |
| Covenant Hospital Hobbs | Past | Accepting new patients | |
| Taos Surgical Specialties LLC | Past | Accepting new patients | |
| National Sinus Institute PLLC | Past | Accepting new patients |
Locations
2000 W 21st St
Ste W7
Clovis, NM 88101
Phone (575) 637-7000
4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000
5419 N Lovington Hwy
Ste 4
Hobbs, NM 88240
Phone (505) 392-7537
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDAHAA
- jlevin2018563@oc.providencedirect.org
- https://api.platform.athenahealth.com/2508/brand/3/csg/1/fhir/r4
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.
-
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
-
- General Acute Care Hospital
- Hobbs, NM
- NPI 1215534466
-
- Otolaryngology Physician
- Los Alamos, NM
- NPI 1194968081
-
- Specialist
- Taos, NM
- NPI 1013115062
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobbs, NM
- NPI 1215534466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1396731899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 WEIMER RD",
"address_2": "SUITE # 600",
"city": "TAOS",
"state": "NM",
"postal_code": "875716340",
"telephone_number": "575-751-0334",
"fax_number": "575-751-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 WEIMER RD",
"address_2": "SUITE # 600",
"city": "TAOS",
"state": "NM",
"postal_code": "875716340",
"telephone_number": "575-751-0334",
"fax_number": "575-751-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "JON",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "A-926-91",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11348824",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.