Individual provider Active NPI

Phillip Levine, MD

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1477578805
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G35171 Issued in CA
Practice address
8631 W 3Rd St
815E
Los Angeles, CA 90048-5901
Phone
(310) 657-3145
Fax
(310) 657-0843
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G35171 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
815E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St
815E
Los Angeles, CA 90048-5901
Phone (310) 657-3145

Other identifiers 1

IdentifierTypeStateIssuer
00G351710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100316000905 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860527892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Medical Group of Southern CaliforniaGroup PAC ID 5294727574, 11 clinicians

Practice addresses (Care Compare)

414 N Camden Dr
Suite 1100
Beverly Hills, CA 90210-4517
Phone (310) 278-3400

8635 W 3Rd St
Suite 1190W
Los Angeles, CA 90048-6100
Phone (310) 652-4600

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
78.52
Promoting interoperability
100
Improvement activities
40
Cost
72.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medical Group of Southern California Cardiovascular Disease CurrentSince Oct 1, 2018 Accepting new patients

Locations

414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210
Phone (310) 278-3400

8635 W 3rd St
Ste 1190W
Los Angeles, CA 90048
Phone (310) 652-4600

Interoperability endpoints

  • Direct secure messaging: plevine103171@direct.cshs.org

Organizations & group practices 1

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 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1477578805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "815E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-657-3145",
            "fax_number": "310-657-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "815E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-657-3145",
            "fax_number": "310-657-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G35171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G351710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.