Individual provider Active NPI

Brian J Levine, MD

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1881814549
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36043 Issued in AZ
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

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
222087MedicaidAZ
222061MedicaidAZ
36043OtherAZAZ 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000365 AZ Practitioner - General Surgery 7113026485 Reassigns benefits to 1 organization

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
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

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 Hospital, Tucson, AZ, CCN 030010

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
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

LicenseStateTypeSpecialty
36043AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince Dec 20, 2015 Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients
Brian J Levine MD PC Surgery PastSince Jul 1, 2007 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

  • Direct secure messaging: brian.levine.1@600.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.