NPIMap

Individual provider Active NPI

Scott David Levenson, MD

  • Gastroenterology Physician
  • San Carlos, CA
National Provider Identifier
1578548186
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G071807 Issued in CA
Practice address
1000 Laurel St
San Carlos, CA 94070-3919
Phone
(650) 596-8800
Fax
(650) 596-8802
NPI assigned
Dec 7, 2005
Last updated
Dec 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G071807 CA Primary
Hepatology Physician 207RI0008X G71807 CA

Addresses

Primary practice location

1000 Laurel St
San Carlos, CA 94070-3919

Mailing address

PO Box 7625
Menlo Park, CA 94026-7625
Phone (650) 596-8800

Other identifiers 1

IdentifierTypeStateIssuer
00G718071MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080618000826 CA Practitioner - Gastroenterology 5395657985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Care Associates, a Medical CorporationGroup PAC ID 6406995406, 7 clinicians

Practice addresses (Care Compare)

1000 Laurel St
San Carlos, CA 94070-3939
Phone (650) 596-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy145
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71807CAMDClinical Social Worker
G071807CAMDGastroenterology Physician
G71807CAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care Associates, a Medical Corporation Gastroenterology CurrentSince Dec 1, 2009 Accepting new patients
Digestive Care Medical Center Inc CurrentSince Feb 25, 2002 Accepting new patients
Edward K. Chiu, MD, Inc Past Accepting new patients
Scott D Levenson, MD Gastroenterology PastSince Aug 1, 1998 Accepting new patients

Locations

1000 Laurel St
San Carlos, CA 94070
Phone (650) 596-8800

1000 Laurel St
Ste A
San Carlos, CA 94070
Phone (650) 596-8800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61492

Organizations & group practices 6

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 10

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1578548186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7625",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940267625",
            "telephone_number": "650-596-8800",
            "fax_number": "650-596-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703919",
            "telephone_number": "650-596-8800",
            "fax_number": "650-596-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G071807",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "G71807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G718071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.