Active NPI
Brian J Levine, MD
- Surgery Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36043
- Practice address
- 1712 W Anklam Rd
Suite 103
Tucson, AZ 85745-2660 - Phone
- (520) 622-7384
- Fax
- (520) 622-4899
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36043 | AZ | Primary |
Addresses
Primary practice location
1712 W Anklam Rd
Suite 103
Tucson, AZ 85745-2660
Mailing address
PO Box 43160
Tucson, AZ 85733-3160
Phone (520) 722-3777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222087 | Medicaid | AZ | |
| 222061 | Medicaid | AZ | |
| 36043 | Other | AZ | AZ MEDICAL LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arizona College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1707 W Saint Marys Rd
Suite 101
Tucson, AZ 85745-2612
Phone (520) 396-1370
395 N Silverbell Rd
Suite 355
Tucson, AZ 85745-2981
Phone (520) 622-5912
400 W Camino Casa Verde
Suite 100
Green Valley, AZ 85614-3569
Phone (520) 625-1760
4892 N Stone Ave
Tucson, AZ 85704-5761
551 W Magee Rd
Tucson, AZ 85704-6439
Phone (520) 498-6467
Hospital & facility affiliations
- St. Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.74 of 100
- Quality
- 79.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 15 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36043 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Arizona Diagnostic Pathology Associates PLLC | Past | Accepting new patients | |
| Brian J Levine MD PC | Surgery | Past | Accepting new patients |
| Carondelet Medical Group, Inc | Past | Accepting new patients |
Locations
400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135
15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175
2202 N Forbes Blvd
Tucson, AZ 85745
Phone (520) 872-7265
1707 W Saint Marys Rd
Ste 101
Tucson, AZ 85745
Phone (520) 396-1370
1707 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 396-1370
551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
1712 W Anklam Rd
Ste 101
Tucson, AZ 85745
Phone (520) 207-2384
6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432
4892 N Stone Ave
Ste 100
Tucson, AZ 85704
Phone (520) 396-1360
1707 W Saint Marys Rd
Ste 100
Tucson, AZ 85745
630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460
Interoperability endpoints
- brian.levine.1@600.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
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.
-
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Surgery Physician
- Tucson, AZ
- NPI 1013139104
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1326222696
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1659326585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265818488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1881814549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43160",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857333160",
"telephone_number": "520-722-3777",
"fax_number": "520-296-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 W ANKLAM RD",
"address_2": "SUITE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452660",
"telephone_number": "520-622-7384",
"fax_number": "520-622-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "36043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222087",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222061",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICAL LIC",
"identifier": "36043",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.