Individual provider Active NPI

Krystine Guerra Levy, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1881080869
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T1374 Issued in TX
Practice address
7777 Forest LN Ste D1200
Dallas, TX 75230-2598
Phone
(214) 365-1150
Fax
(214) 363-2477
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 299417 NY
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X T1374 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste D1200
Dallas, TX 75230-2598

Mailing address

7777 Forest LN Ste 1200
Dallas, TX 75230-2571
Phone (214) 365-1150

Other practice location 1

6410 Fannin St Ste 350
Houston, TX 77030-3004
Phone (832) 325-7200

Other practice location 2

8160 Walnut Hill Ln Ste 116
Dallas, TX 75231-4442
Phone (214) 365-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210712001224 TX Practitioner - Obstetrics/Gynecology 6800229154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City OB-GYN, PLLCGroup PAC ID 3476808411, 60 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite D1200
Dallas, TX 75230-2571
Phone (469) 326-0110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1374TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2021 Accepting new patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology CurrentSince Dec 1, 2022 Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

7777 Forest Ln
Ste 1200
Dallas, TX 75230
Phone (214) 365-1150

7777 Forest Ln
Ste C300J
Dallas, TX 75230
Phone (972) 566-2043

8160 Walnut Hill Ln
Ste 116
Dallas, TX 75231
Phone (214) 345-7024

7777 Forest Ln
Ste D1200
Dallas, TX 75230
Phone (214) 365-1150

6410 Fannin St
Ste 350
Houston, TX 77030
Phone (832) 325-7200

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

4650 President George Bush Tpke
Ste 310
Sachse, TX 75048
Phone (214) 365-1150

Organizations & group practices 4

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1881080869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "214-365-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302598",
            "telephone_number": "214-365-1150",
            "fax_number": "214-363-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303004",
            "country_code": "US",
            "telephone_number": "832-325-7200",
            "fax_number": "713-383-1479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8160 Walnut Hill Ln Ste 116",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314442",
            "country_code": "US",
            "telephone_number": "214-365-1150",
            "fax_number": "214-363-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "KRYSTINE",
        "middle_name": "GUERRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "299417",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.