Individual provider Active NPI

Dennis Joel Levinson, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1720050016
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036042103 Issued in IL
Practice address
611 W Roosevelt Rd
Chicago, IL 60607-4911
Phone
(312) 674-4010
Fax
(312) 674-4001
NPI assigned
Feb 2, 2006
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036042103 IL Primary
Rheumatology Physician 207RR0500X 036042103 IL

Addresses

Primary practice location

611 W Roosevelt Rd
Chicago, IL 60607-4911

Mailing address

PO Box 2013
Glenview, IL 60025-6013
Phone (312) 674-4010

Other identifiers 3

IdentifierTypeStateIssuer
036042103MedicaidIL
21606301OtherILBLUE CROSS/BLUS SHIELD
990013079OtherRR MEDICARE

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address dlevinson255290@myadvocateaurora.org Direct
FHIR URL EpicFHIR.aurora.org/FHIR/myaurora/api/FHIR/DSTU2/
FHIR URL EpicFHIR.aurora.org/FHIR/myaurora/api/FHIR/DSTU2/
FHIR URL EpicFHIR.aurora.org/FHIR/myaurora/api/FHIR/DSTU2/
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050310000510 IL Practitioner - Internal MedicinePractitioner - Rheumatology 3870547086 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036042103ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2015 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212

29373 Network Pl
Chicago, IL 60673

Organizations & group practices 2

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.

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": "1640217600000",
    "number": "1720050016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600256013",
            "telephone_number": "312-674-4010",
            "fax_number": "312-674-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074911",
            "telephone_number": "312-674-4010",
            "fax_number": "312-674-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "DENNIS",
        "middle_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036042103",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036042103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042103",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUS SHIELD",
            "identifier": "21606301",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "990013079",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlevinson255290@myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "611 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EpicFHIR.aurora.org/FHIR/myaurora/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "611 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EpicFHIR.aurora.org/FHIR/myaurora/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "611 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EpicFHIR.aurora.org/FHIR/myaurora/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "611 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2599 E Capitol Dr",
            "address_2": "Ste2500",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549118735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.