Individual provider Active NPI

Carey Elizabeth Levin, MD

  • Pediatrics Physician
  • New Castle, CO
National Provider Identifier
1508009796
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
49610 Issued in CO
Practice address
820 Castle Valley Blvd
Suite 204
New Castle, CO 81647-9480
Phone
(970) 984-3333
Fax
(970) 984-0293
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 49610 CO Primary
Pediatrics Physician 208000000X A107287 CA

Addresses

Primary practice location

820 Castle Valley Blvd
Suite 204
New Castle, CO 81647-9480

Mailing address

PO Box 643
Carbondale, CO 81623-0643
Phone (415) 302-3731

Other identifiers 1

IdentifierTypeStateIssuer
62059262MedicaidCO

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
I20110330000729 CA Practitioner - Pediatric Medicine 6406039379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49610COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Nov 30, 2019 Accepting new patients
Castle Valley Children'S Clinic Pediatrics Past Accepting new patients
Castle Valley Children'S Clinic Pediatrics PastSince Sep 8, 2019 Accepting new patients
UCSF Pediatrics Associates Pediatrics Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

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.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1508009796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816230643",
            "telephone_number": "415-302-3731",
            "fax_number": "970-984-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CASTLE VALLEY BLVD",
            "address_2": "SUITE 204",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479480",
            "telephone_number": "970-984-3333",
            "fax_number": "970-984-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "CAREY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "49610",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A107287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62059262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, CO

Sources for this page

Verify at the official NPI Registry.