Active NPI
Robert Lee Levy, MD
- Hematology & Oncology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- C39275
- Practice address
- 1401 Spanos CT
#134
Modesto, CA 95355 - Phone
- (209) 529-2000
- Fax
- (209) 525-3805
- NPI assigned
- Aug 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | C39275 | CA | Primary |
Addresses
Primary practice location
1401 Spanos CT
#134
Modesto, CA 95355
Mailing address
1401 Spanos CT
#134
Modesto, CA 95355
Phone (209) 529-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C392750 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Virginia Commonwealth University, School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1138 Norman Dr
Manteca, CA 95336-5965
Phone 2098231609331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39275 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Cancer Medical Center Inc | Current | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients |
Locations
1138 Norman Dr
Ste 101
Manteca, CA 95336
Phone (209) 823-1609
1138 Norman Dr
Manteca, CA 95336
Phone (209) 823-1609
1401 Spanos Ct
Ste 134
Modesto, CA 95355
Phone (209) 529-2000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Specialist
- Manteca, CA
- NPI 1740648856
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568473965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SPANOS CT",
"address_2": "#134",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-529-2000",
"fax_number": "209-525-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SPANOS CT",
"address_2": "#134",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-529-2000",
"fax_number": "209-525-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "C39275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C392750",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.