Individual provider Active NPI

Elizabeth Segal Levin

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1417214198
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
278194 Issued in MA
Practice address
UCLA Division of Vascular Surgery
200 UCLA Medical Plaza, Suite 510-6
Los Angeles, CA 90095-0001
Phone
(310) 206-5145
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 278194 MA Primary

Addresses

Primary practice location

UCLA Division of Vascular Surgery
200 UCLA Medical Plaza, Suite 510-6
Los Angeles, CA 90095-0001

Mailing address

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-7537

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC, MD, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190808000150 MA Practitioner - Diagnostic Radiology 9537496948 Reassigns benefits to 8 organizations
I20230120000016 DC Practitioner - Diagnostic Radiology 9537496948 Reassigns benefits to 2 organizations
I20230120000035 MD Practitioner - Diagnostic Radiology 9537496948 Reassigns benefits to 1 organization
I20230125002697 VA Practitioner - Diagnostic Radiology 9537496948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Practice addresses (Care Compare)

15 Beck St
Newburyport, MA 01950-2945
Phone (540) 686-1600

1615 Admirals Hill CT
Vienna, VA 22182-1562
Phone (866) 482-5419

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278194MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Radiology-Cra LLC Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Multi-Specialty CurrentSince Sep 13, 2022 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 13, 2022 Accepting new patients
Harbor Medical Associates, Inc. Multi-Specialty CurrentSince Nov 13, 2019 Accepting new patients
Chelmsford MRI, P.C. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 13, 2022 Accepting new patients
Brigham & Womens Physicians Organization Inc Multi-Specialty CurrentSince Aug 6, 2019 Accepting new patients
Pratt Radiology Associates, Inc Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Harbor Medical Associates, Inc. Multi-Specialty CurrentSince Nov 13, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Multi-Specialty CurrentSince Nov 1, 2022 Accepting new patients
Chelmsford MRI, P.C. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Chelmsford MRI, P.C. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Multi-Specialty Current Accepting new patients
Winchester Radiologists PC Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Mass General Brigham Community Physicians Inc Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations (25 of 33)

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

75 Francis St
Boston, MA 02115

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

2101 E Jefferson St
#4E
Rockville, MD 20852

2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: elevin31599@tuftsmedicine.direct-ci.com

Organizations & group practices 19

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.

View all 19

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1417214198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-7537",
            "fax_number": "857-307-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA DIVISION OF VASCULAR SURGERY",
            "address_2": "200 UCLA MEDICAL PLAZA, SUITE 510-6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-206-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ELIZABETH",
        "middle_name": "SEGAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "278194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "Ucla Division Of Vascular Surgery",
            "address_2": "200 UCLA Medical Plaza, Suite 510-6",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.