Individual provider Active NPI

Benjamin D. Levine, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1508985565
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A89503 Issued in CA
Practice address
200 UCLA Medical PLZ Ste B165
Los Angeles, CA 90095-3075
Phone
(310) 301-6800
Fax
(310) 794-9035
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A89503 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ Ste B165
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1245 16th St Ste 100
Santa Monica, CA 90404-1255
Phone (310) 301-6800

Other practice location 2

1245 16th St Ste 105
Santa Monica, CA 90404-1239
Phone (310) 301-6800

Other practice location 3

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

Other identifiers 1

IdentifierTypeStateIssuer
00A895030MedicaidCA

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
I20070618000479 CA Practitioner - Diagnostic Radiology 5890894703 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians
Martin Luther King Jr Community Medical FoundationGroup PAC ID 8628359502, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

100 Moody CT
Thousand Oaks, CA 91360-6077
Phone (805) 418-3500

1131 Wilshire Blvd
Suite 100
Santa Monica, CA 90401-2072
Phone (310) 319-3475

1250 16TH St
Santa Monica, CA 90404-1249
Phone (424) 259-6000

1260 15TH St
Suite 111
Santa Monica, CA 90404-1136
Phone (310) 393-5153

1680 E 120TH St
Los Angeles, CA 90059-3026

19950 Rinaldi St
Suite 100
Northridge, CA 91326-4141
Phone (818) 901-6600

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 582-6217

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

2215 W Rosecrans Ave
Compton, CA 90222-3856

23815 Stuart Ranch Rd
Suite 300
Malibu, CA 90265-4861
Phone (310) 456-1668

2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530

248 Hampshire Rd
Suite 100
Thousand Oaks, CA 91361-2401
Phone (805) 370-0040

26585 Agoura Rd
Suite 210
Calabasas, CA 91302-1958
Phone (818) 878-0028

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

30700 Russell Ranch Rd
Suite 110
Westlake Village, CA 91362-9500
Phone (818) 661-6570

3500 Lomita Blvd
Suite 300
Torrance, CA 90505-5038
Phone (310) 257-0028

3701 Skypark Dr
Suite 200
Torrance, CA 90505-4749
Phone (310) 378-8900

4323 Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5424
Phone (310) 827-3700

501 Deep Valley Dr
Suite 100
Rolling Hills Estates, CA 90274-7606
Phone (310) 265-6401

6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020

Hospital & facility affiliations

  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
87.27
Promoting interoperability
100
Improvement activities
40
Cost
74.04

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89503CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 10, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 10, 2018 Accepting new patients
Regents of the University of California CurrentSince Jun 2, 2014 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Regents of the University of California CurrentSince Jun 2, 2014 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Regents of the University of California Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

200 UCLA Medical Plz
Ste B165
Los Angeles, CA 90095
Phone (310) 206-8900

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

File 59755
Los Angeles, CA 90074

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

100 UCLA Medical Plz
Ste 170
Los Angeles, CA 90024
Phone (858) 534-3880

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 802-0200

4343 Lankershim Blvd
Ste 300
North Hollywood, CA 91602

4343 Lankershim Blvd
#200
North Hollywood, CA 91602
Phone (818) 843-9038

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400

1187 Coast Village Rd
Ste 10A
Santa Barbara, CA 93108
Phone (805) 565-0020

1187 Coast Village Rd
Ste 10B
Santa Barbara, CA 93108
Phone (805) 403-8541

1245 16th St
Santa Monica, CA 90404
Phone (310) 794-1841

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1245 16th St
Ste 100
Santa Monica, CA 90404

1245 16th St
Ste 105
Santa Monica, CA 90404
Phone (310) 319-3489

Interoperability endpoints

  • Direct secure messaging: blevine38206@direct.uclahealth.org

Organizations & group practices 10

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1508985565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE B165",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041255",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 16th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041239",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662910",
            "country_code": "US",
            "telephone_number": "310-802-0200",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BENJAMIN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A89503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A895030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.