Individual provider Active NPI

Ryan Levenhagen, DO

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1609289040
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036143935 Issued in IL
Practice address
5145 N California Ave
Attn: Gme Office
Chicago, IL 60625-3661
Phone
(773) 989-3808
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.143935 IL
Hospitalist Physician 208M00000X 036143935 IL Primary

Addresses

Primary practice location

5145 N California Ave
Attn: Gme Office
Chicago, IL 60625-3661

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (479) 826-7158

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlevenhagen277103@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170818002833 IL Practitioner - Internal Medicine 5890067276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222

Hospital & facility affiliations

  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Harmony Healthcare & Rehab Ctr Nursing home, Chicago, IL, CCN 145775
  • Alta Rehab at Fairmont Nursing home, Chicago, IL, CCN 145867

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.143935ILMDInternal Medicine Physician
036143935ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. CurrentSince Sep 18, 2017 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 14, 2023 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Sep 18, 2017 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Swedish Covenant Management Services, Inc. Internal Medicine Current Accepting new patients

Locations

2740 W Foster Ave
Apt 1
Chicago, IL 60625

9532 Eagle Way
Chicago, IL 60678

5145 N California Ave
Ofc
Chicago, IL 60625
Phone (773) 989-3803

5345 N Sheridan Rd
Chicago, IL 60640
Phone (773) 293-8890

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • Direct secure messaging: rlevenhagen277103@direct.northshore.org

Organizations & group practices 5

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1609289040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "479-826-7158",
            "fax_number": "479-823-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE",
            "address_2": "ATTN: GME OFFICE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253661",
            "telephone_number": "773-989-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENHAGEN",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.143935",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036143935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlevenhagen277103@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5145 N California Ave",
            "address_2": "Attn: GME office",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.