Active NPI
Tower Nephrology Medical Group
- Nephrology Physician
- Beverly Hills, CA
National Provider Identifier
1699754358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- W11231
- Legal business name
- TOWER NEPHROLOGY MEDICAL GROUP
- Practice address
- 8641 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2921 - Phone
- (310) 652-9162
- NPI assigned
- Jan 11, 2006
- Reactivated
- May 18, 2021
- Organization subpart
- No
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Englewood, CO
- NPI 1841639622
CA, Nephrology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0937918 | Tower Nephrology Medical Group | Certificate of waiver | Jul 30, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060504000236 | CA | Part B Supplier - Clinic/Group Practice | 2860402872 |
Receives reassigned benefits from 10 practitioners Practice locations: Beverly Hills, CA |
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael M Levine, M.D.,
- Title
- Partner
- Phone
- (310) 652-9162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | W11231 | CA | Primary |
Addresses
Primary practice location
8641 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2921
Mailing address
8641 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2921
Phone (310) 652-9162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAB37918F | Other | CA | LAB PIN |
NPI Registry JSON
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698192000000",
"number": "1699754358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8641 WILSHIRE BLVD STE 300",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112921",
"telephone_number": "310-652-9162",
"fax_number": "310-854-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 WILSHIRE BLVD STE 300",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112921",
"telephone_number": "310-652-9162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER NEPHROLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"deactivation_date": "2021-03-26",
"reactivation_date": "2021-05-18",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "310-652-9162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "W11231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAB PIN",
"identifier": "LAB37918F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Derek Joshua Tow, DMD, MD
- Tower Anesthesia Associates Inc
- Tower Anesthesia Group
- Tower Digestive Health Medical Group
- Tower Hematology Oncology Medical Group
- Tower Outpatient Surgery Center Inc
- Tower Pet Imaging Center, a Medical Group
- Tower Physician Group Inc
- Tower Psychiatry Inc
- Tiffany Towers, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.