Individual provider Active NPI

Daniel Levin, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1881379972
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6410 Rockledge Dr Ste 505
Bethesda, MD 20817-7823
Phone
(301) 530-7303
NPI assigned
Jun 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

6410 Rockledge Dr Ste 505
Bethesda, MD 20817-7823

Mailing address

6697 Stonebrook Dr
Clifton, VA 20124-2541
Phone (703) 593-1628

Other practice location 1

2112 F St NW Ste 802A
Washington, DC 20037-2740
Phone (202) 775-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929000084 DC Practitioner - Physician Assistant 1557715257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians
Pain Management Institute, LLCGroup PAC ID 5890697056, 7 clinicians

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

6720 A Rockledge Dr
Suite 500
Bethesda, MD 20817-1888
Phone (301) 530-7303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: daniel.levin@1084.securemail.prognocis.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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1881379972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6697 STONEBROOK DR",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201242541",
            "telephone_number": "703-593-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 505",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177823",
            "telephone_number": "301-530-7303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 F St NW Ste 802A",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372740",
            "country_code": "US",
            "telephone_number": "202-775-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.