Individual provider Active NPI

Kenneth Herzl Levin, M.D.

  • Ophthalmology Physician
  • Harrisburg, PA
National Provider Identifier
1679848899
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD456766 Issued in PA
Practice address
4100 Linglestown Rd
Harrisburg, PA 17112-1071
Phone
(717) 657-2020
Fax
(717) 657-2071
NPI assigned
Mar 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD456766 PA Primary

Addresses

Primary practice location

4100 Linglestown Rd
Harrisburg, PA 17112-1071

Mailing address

4100 Linglestown Rd
Harrisburg, PA 17112-1071
Phone (717) 657-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160614001316 PA Practitioner - Ophthalmology 2365678448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Innovation Centers of Pennsylvania LLCGroup PAC ID 0840625349, 86 clinicians

Practice addresses (Care Compare)

4407 Carlisle Pike
Suite D
Camp Hill, PA 17011-4159
Phone (717) 975-2015

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456766PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Innovation Centers of Pennsylvania LLC Ophthalmology Current Accepting new patients
Vision Innovation Centers of Pennsylvania, LLC Ophthalmology CurrentSince Dec 22, 2021 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC CurrentSince Dec 22, 2021 Accepting new patients
Pennsylvania Eye Surgery Center Past Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Ophthalmology Past Accepting new patients

Locations

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

4407 Carlisle Pike
Camp Hill, PA 17011
Phone 7179752015 ext. 52015

4407 Carlisle Pike
Ste D
Camp Hill, PA 17011
Phone (717) 975-2015

703 Rutter Ave
Kingston, PA 18704
Phone (570) 288-7405

4100 Linglestown Rd
Linglestown, PA 17112
Phone (717) 657-2020

170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010

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.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1679848899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121071",
            "telephone_number": "717-657-2020",
            "fax_number": "717-657-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121071",
            "telephone_number": "717-657-2020",
            "fax_number": "717-657-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "KENNETH",
        "middle_name": "HERZL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD456766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.