Active NPI
Jeffrey Rubin Levin, MD
- Neurology Physician
- Modesto, CA
National Provider Identifier
1740290485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A46304
- Practice address
- 1541 Florida Ave
Suite 300
Modesto, CA 95350-4429 - Phone
- (209) 521-0767
- Fax
- (209) 521-5204
- NPI assigned
- Aug 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | JL053156 | MI | |
| Neurology Physician | 2084N0400X | A46304 | CA | Primary |
Addresses
Primary practice location
1541 Florida Ave
Suite 300
Modesto, CA 95350-4429
Mailing address
220 Standiford Ave
Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307311791 | Other | MI | BLUE CROSS |
| 307646010 | Medicaid | MI | |
| A46304 | Other | CA | MEDICAL LICENSE |
| 1300926612 | Other | MI | HEALTHPLUS |
| 130014307 | Other | MI | PALMETTO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1541 Florida Ave
Suite 300
Modesto, CA 95350-4439
Phone (209) 521-0767
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.33 of 100
- Quality
- 36.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46304 | CA | MD | General Practice Dentistry |
| A46304 | CA | MD | Neurology Physician |
| JL053156 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey R Levin MD Inc | Neurology | Current | Accepting new patients |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500
1541 Florida Ave
Ste 300
Modesto, CA 95350
Phone (209) 521-0767
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jeffreyrlevin.jeffreyrlevin@117786.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Neurology Physician
- Modesto, CA
- NPI 1821254665
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- Occupational Therapist
- Belleville, IL
- NPI 1578604443
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1740290485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE",
"address_2": "STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "209-579-5628",
"fax_number": "209-579-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE",
"address_2": "SUITE 300",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504429",
"telephone_number": "209-521-0767",
"fax_number": "209-521-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "JEFFREY",
"middle_name": "RUBIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "JL053156",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A46304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1307311791",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307646010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A46304",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "1300926612",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "130014307",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.