Individual provider Active NPI

Philippe T Levy, MD

  • Psychiatry Physician
  • Kailua Kona, HI
National Provider Identifier
1801210919
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-21797 Issued in HI
Practice address
74-517 Honokohau St
Kailua Kona, HI 96740-2715
Phone
(808) 334-4400
NPI assigned
Feb 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A151642 CA
Psychiatry Physician 2084P0800X A151642 CA
Psychiatry Physician 2084P0800X MD-21797 HI Primary

Addresses

Primary practice location

74-517 Honokohau St
Kailua Kona, HI 96740-2715

Mailing address

74-517 Honokohau St
Kailua Kona, HI 96740-2715
Phone (808) 334-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220413002129 CA Practitioner - Psychiatry 2769743038
I20240207004204 HI Practitioner - Psychiatry 2769743038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Davis School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

74 -517 Honokohau St
Kailua Kona, HI 96740-2715
Phone (808) 432-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151642CAMDPsychiatry Physician
MD-21797HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Psychiatry CurrentSince Sep 13, 2023 Accepting new patients
Psycare Inc CurrentSince Mar 1, 2022 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jan 2, 2024 Accepting new patients

Locations

1720 El Camino Real
Ste 140
Burlingame, CA 94010

2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

4361 Latham St
Ste 220
Riverside, CA 92501
Phone (206) 906-5385

5222 Pirrone Ct
Ste 101A
Salida, CA 95368

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

1245 S Winchester Blvd
Ste 110
San Jose, CA 95128
Phone (415) 296-5299

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

74-517 Honokohau St
Kailua Kona, HI 96740
Phone (808) 334-4400

Interoperability endpoints

  • Direct secure messaging: plevy231151@direct.ochin.org
  • Direct secure messaging: lifestancehealth.philippelevy@148377.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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1801210919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-517 HONOKOHAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402715",
            "telephone_number": "808-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-517 HONOKOHAU ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402715",
            "telephone_number": "808-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "PHILIPPE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A151642",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A151642",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-21797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "74-517 Honokohau St",
            "city": "Kailua Kona",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967402715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.