Individual provider Active NPI

Robert Lee Levy, MD

  • Hematology & Oncology Physician
  • Modesto, CA
National Provider Identifier
1568473965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C39275 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C392750MedicaidCA

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
I20081211000050 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3779644687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
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
Valley Cancer Medical Center IncGroup PAC ID 7517245863, 4 clinicians

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

LicenseStateTypeSpecialty
C39275CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cancer Medical Center Inc CurrentSince Aug 13, 2016 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.

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": "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

Verify at the official NPI Registry.