Active NPI
Renee A Levine, M.D.
- Radiation Oncology Physician
- Baton Rouge, LA
National Provider Identifier
1811095102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 10830R
- Practice address
- 4950 Essen Lane
Baton Rouge, LA 70809-3482 - Phone
- (225) 767-0847
- Fax
- (225) 766-1417
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 10830R | LA | Primary |
Addresses
Primary practice location
4950 Essen Lane
Baton Rouge, LA 70809-3482
Mailing address
4950 Essen Lane
Baton Rouge, LA 70809-3482
Phone (225) 215-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1993603 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10830R | LA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1811095102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 ESSEN LANE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093482",
"telephone_number": "225-215-1311",
"fax_number": "225-215-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 ESSEN LANE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093482",
"telephone_number": "225-767-0847",
"fax_number": "225-766-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "RENEE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "LA",
"license": "10830R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1993603",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.