Individual provider Active NPI

Eli Sedigh Levine, M.D.

  • Interventional Cardiology Physician
  • Boca Raton, FL
National Provider Identifier
1457526311
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME121908 Issued in FL
Practice address
951 NW 13TH St Ste 5B
Boca Raton, FL 33486-2337
Phone
(561) 235-5621
Fax
(561) 235-5495
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME121908 FL
Cardiovascular Disease Physician 207RC0000X ME121908 FL
Interventional Cardiology Physician 207RI0011X ME121908 FL Primary

Addresses

Primary practice location

951 NW 13TH St Ste 5B
Boca Raton, FL 33486-2337

Mailing address

951 NW 13TH St Ste 5B
Boca Raton, FL 33486-2337
Phone (561) 235-5621

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720003106 FL Practitioner - Cardiovascular Disease (Cardiology) 7416072095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boca Raton Ekg Readers IncGroup PAC ID 5193865905, 23 clinicians
Eli S Levine MD PAGroup PAC ID 1850604844, 3 clinicians

Practice addresses (Care Compare)

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

951 NW 13 St
Boca Raton, FL 33486-2337
Phone (561) 235-5621

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal38
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121908FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Ekg Readers Inc Cardiovascular Disease CurrentSince Mar 24, 2018 Accepting new patients
Eli S. Levine, MD, PA Internal Medicine CurrentSince May 1, 2015 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

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

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

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1457526311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 5B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "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 STE 5B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-235-5621",
            "fax_number": "561-235-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ELI",
        "middle_name": "SEDIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121908",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME121908",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME121908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.