NPIMap

Organization Active NPI

Eli S. Levine, MD, PA

  • Interventional Cardiology Physician
  • Boca Raton, FL
National Provider Identifier
1437549243
Registry record updated May 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME121908 Issued in FL
Legal business name
ELI S. LEVINE, MD, PA
Practice address
951 NW 13TH St
Suite 4B
Boca Raton, FL 33486-2359
Phone
(561) 235-5621
Fax
(561) 235-5495
NPI assigned
Feb 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2015

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

Authorized official

Name
Dr. Eli S Levine, MDNPI 1457526311
Title
President
Phone
(561) 235-5621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X ME121908 FL
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X ME121908 FL
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X ME121908 FL Primary

Addresses

Primary practice location

951 NW 13TH St
Suite 4B
Boca Raton, FL 33486-2359

Mailing address

951 NW 13TH St
Suite 4B
Boca Raton, FL 33486-2359
Phone (561) 235-5621

Other names 1

  • Advanced Heart & Vascular Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150720002913 FL Part B Supplier - Clinic/Group Practice 1850604844 Receives reassigned benefits from 5 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

951 NW 13th St
Ste 5B
Boca Raton, FL 33486
Phone (561) 235-5621

951 NW 13th St
Ste B
Boca Raton, FL 33486

951 NW 13th St
Ste 5C
Boca Raton, FL 33486

951 NW 13th St
Ste 4B
Boca Raton, FL 33486
Phone (248) 290-5400

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431129600000",
    "number": "1437549243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 4B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-235-5621",
            "fax_number": "561-235-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 4B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-235-5621",
            "fax_number": "561-235-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI S. LEVINE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-05-09",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-235-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121908",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME121908",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME121908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Heart & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.