Active NPI
Eric G Leveen, M.D.
- Surgery Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G155885
- Practice address
- 1515 El Camino Real Ste D
Palo Alto, CA 94306-1000 - Phone
- (650) 600-9838
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G155885 | CA | Primary |
| Surgery Physician | 208600000X | 9346 | SC |
Addresses
Primary practice location
1515 El Camino Real Ste D
Palo Alto, CA 94306-1000
Mailing address
1515 El Camino Real Ste D
Palo Alto, CA 94306-1000
Phone (650) 600-9838
Other practice location 1
PMB 18
Saipan, MP 96950
Phone (670) 783-0641
Other practice location 2
2750 Laurel St Ste 200
Columbia, SC 29204-2047
Phone (803) 409-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MP, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G155885 | CA | MD | Surgery Physician |
| 9346 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hafa Specialist Group LLP | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542
Organizations & group practices 4
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.
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Specialist
- Tamuning, GU
- NPI 1235141060
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1487619490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 EL CAMINO REAL STE D",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061000",
"telephone_number": "650-600-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 EL CAMINO REAL STE D",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061000",
"telephone_number": "650-600-9838"
}
],
"practiceLocations": [
{
"address_1": "PMB 18",
"address_purpose": "LOCATION",
"city": "Saipan",
"state": "MP",
"postal_code": "96950",
"country_code": "US",
"telephone_number": "670-783-0641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2750 Laurel St Ste 200",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292042047",
"country_code": "US",
"telephone_number": "803-409-7130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVEEN",
"first_name": "ERIC",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G155885",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "9346",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.