Individual provider Active NPI

Robert Evan Levy, M.D.

  • Ophthalmology Physician
  • Chattanooga, TN
National Provider Identifier
1619397635
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
58984 Issued in TN
Practice address
5715 Cornelison Rd
Chattanooga, TN 37411-5661
Phone
(423) 892-3937
NPI assigned
Apr 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X 58984 TN
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 58984 TN
Ophthalmology Physician 207W00000X 58984 TN Primary

Addresses

Primary practice location

5715 Cornelison Rd
Chattanooga, TN 37411-5661

Mailing address

5715 Cornelison Rd
Chattanooga, TN 37411-5661
Phone (205) 862-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190626001306 TN Practitioner - Ophthalmology 5193044543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Eye Institute,P.C.Group PAC ID 5799742789, 3 clinicians

Practice addresses (Care Compare)

5715 Cornelison Rd
BLDG 6600
Chattanooga, TN 37411-5661
Phone (423) 892-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58984TNMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Eye Institute,P.C. Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients

Locations

5715 Cornelison Rd
Chattanooga, TN 37411
Phone (423) 892-3937

5715 Cornelison Rd
Bldg 6600
Chattanooga, TN 37411
Phone (423) 892-2937

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/155265c8-cc75-4495-acc6-6ac5bd3a872e/

Organizations & group practices 1

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 5

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1619397635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 CORNELISON RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115661",
            "telephone_number": "205-862-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 CORNELISON RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115661",
            "telephone_number": "423-892-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ROBERT",
        "middle_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "TN",
            "license": "58984",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "58984",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "58984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.