Benjamin Adam Van Pratt Levin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A177088 Issued in CA

Practice address

1016 Outer Rd
San Diego, CA 92154-1351

Phone

(619) 429-3733

Fax

(855) 576-3613

NPI assigned

Mar 26, 2019

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Benjamin Levin Former name

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

Specialty

Family PracticeAlso: Hospitalist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imperial Beach Community ClinicGroup PAC ID 6709867880, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Merit-based Incentive Payment System (MIPS)

Final score

84.87 of 100Reported as group

Quality

71.11

Improvement activities

40

Cost

69.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10012052
• FHIR API: https://fhir4.healow.com/fhir/r4/EBEEDD
• Direct secure messaging: pvanprattlevin285623@scrippshlth.medalliesdirect.net

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.

• Imperial Beach Community Clinic

  dba Imperial Beach Health Center

  • Community Health Clinic/Center
  • Imperial Beach, CA
  • NPI 1790718351
  Medicare reassignment Care Compare group NPD
• 24 On Physicians of California, PC

  • Hospitalist Physician
  • Porterville, CA
  • NPI 1730570565
  Medicare reassignment NPD
• Scripps Mercy Physicians Cardiology Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1477644474
  Medicare reassignment NPD
• Imperial Beach Community Clinic

  dba Nestor Community Health Center

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1215246996
  NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  dba Scripps Mercy Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1619438330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 OUTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541351",
            "telephone_number": "619-429-3733",
            "fax_number": "855-576-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 OUTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541351",
            "telephone_number": "619-429-3733",
            "fax_number": "855-576-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PRATT LEVIN",
        "first_name": "BENJAMIN",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61272871",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A177088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "LEVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philippus Jacobus Van Niekerk, DO
• Linda E Van Noy, NP
• Casey R Van Ommering
• Irene L Van Oosbree
• Aisha Maria Van Pratt Levin, MD
• Marguerite Emilie Van Remoortere, MD
• Annette Daniela Robles Van Sickle
• Jenna Van Slyke, M.S.
• Christine Ann Van Tassel
• Sarah Elinor Van Valkenburgh, PSY.D.

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.