Individual provider Active NPI

Sari Ruth Levine, MD

  • Urology Physician
  • Mountain View, CA
National Provider Identifier
1508814393
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G070871 Issued in CA
Practice address
2490 Hospital Dr
Suite 210
Mountain View, CA 94040-4122
Phone
(650) 962-4662
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G070871 CA Primary

Addresses

Primary practice location

2490 Hospital Dr
Suite 210
Mountain View, CA 94040-4122

Mailing address

2490 Hospital Dr Ste 210
Mountain View, CA 94040-4117
Phone (650) 962-4662

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
I20080717000770 CA Practitioner - Urology 9537172341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70871CAMDPharmacist
G070871CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Surgeons of Northern California, Inc. Urology CurrentSince Mar 1, 2009 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

320 Dardanelli Ln
Ste 23B
Los Gatos, CA 95032
Phone (408) 866-2500

2490 Hospital Dr
Ste 210
Mountain View, CA 94040
Phone (650) 962-4321

2490 Hospital Dr
Mountain View, CA 94040
Phone (650) 261-6861

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1508814393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 210",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404117",
            "telephone_number": "650-962-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404122",
            "telephone_number": "650-962-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "SARI",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G070871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.