NPIMap

Individual provider Active NPI

Jeffrey M Levisman, M.D.

  • Interventional Cardiology Physician
  • Henderson, NV
National Provider Identifier
1548450497
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A97382 Issued in CA
Practice address
2865 Siena Heights Dr
#331
Henderson, NV 89052-4167
Phone
(702) 731-8224
Fax
(702) 407-0133
NPI assigned
Jul 26, 2007
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A97382 CA
Cardiovascular Disease Physician 207RC0000X A97382 CA
Interventional Cardiology Physician 207RI0011X A97382 CA Primary

Addresses

Primary practice location

2865 Siena Heights Dr
#331
Henderson, NV 89052-4167

Mailing address

2880 N Tenaya Way Ste 100
Las Vegas, NV 89128-0642
Phone (702) 962-2200

Other practice location 1

2880 N Tenaya Way Ste 100
Las Vegas, NV 89128-0642
Phone (702) 962-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEFFREY.LEVISMAN@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000750 NV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6305039702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Mountainview Multispecialty Clinics LLCGroup PAC ID 1759469711, 64 clinicians

Practice addresses (Care Compare)

2880 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0642
Phone (702) 562-5658

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.38 of 100Reported as individual
Quality
65.55
Promoting interoperability
99
Improvement activities
40
Cost
58.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting83
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97382CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mountainview Multispecialty Clinics, LLC CurrentSince Jan 5, 2020 Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine Past Accepting new patients
Sjhmc Physician Services PastSince Jan 1, 2020 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

2880 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 562-5658

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1470 E Calvada Blvd
Ste 100
Pahrump, NV 89048
Phone (702) 962-2200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jeffrey.levisman@hca3.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1548450497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-962-2200",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR",
            "address_2": "#331",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524167",
            "telephone_number": "702-731-8224",
            "fax_number": "702-407-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 N Tenaya Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280642",
            "country_code": "US",
            "telephone_number": "702-962-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVISMAN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2022-01-04",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97382",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A97382",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A97382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEFFREY.LEVISMAN@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2880 N Tenaya Way Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891280642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.