Active NPI
Ross L Levine, MD
- Neurology Physician
- Janesville, WI
National Provider Identifier
1639141856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22434-20
- Practice address
- 1000 Mineral Point Ave
Janesville, WI 53548-2940 - Phone
- (608) 756-6822
- Fax
- (608) 741-6953
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 22434-20 | WI | Primary |
Addresses
Primary practice location
1000 Mineral Point Ave
Janesville, WI 53548-2940
Mailing address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639141856 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22434-20 | WI | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1639141856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482940",
"telephone_number": "608-756-6822",
"fax_number": "608-741-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482940",
"telephone_number": "608-756-6822",
"fax_number": "608-741-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "ROSS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "22434-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639141856",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.