NPIMap

Individual provider Active NPI

Ronald P Levy, D.O.

  • Diagnostic Radiology Physician
  • Alton, IL
National Provider Identifier
1760443741
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036110681 Issued in IL
Practice address
1 Saint Anthonys Way
Alton, IL 62002-4568
Phone
(618) 465-4520
NPI assigned
Mar 30, 2006
Last updated
Feb 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036110681 IL Primary
Diagnostic Radiology Physician 2085R0202X 34427 MO

Addresses

Primary practice location

1 Saint Anthonys Way
Alton, IL 62002-4568

Mailing address

36 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0401

Other identifiers 4

IdentifierTypeStateIssuer
IL4399001OtherILMEDICARE
036110681-2OtherILMEDICAID
036110681-1MedicaidIL
P00142206OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110681ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Hospital Corporation Past Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Advanced Imaging Consultants LLC Diagnostic Radiology PastSince May 7, 2023 Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Susan B Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Advanced Medical Testing Systems, Inc. Past Accepting new patients
National Radiology Group, LLC Diagnostic Radiology Past Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Radiologic Physicians LTD Diagnostic Radiology Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Susan B. Allen Memorial Hospital PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1760443741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 GARDEN CTR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201730",
            "telephone_number": "303-465-0401",
            "fax_number": "303-404-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT ANTHONYS WAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024568",
            "telephone_number": "618-465-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "RONALD",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036110681",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "34427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL4399001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "036110681-2",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110681-1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00142206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.