Individual provider Active NPI

Robert Levin, MD

  • Hematology & Oncology Physician
  • Inglewood, CA
National Provider Identifier
1932186467
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036045642 Issued in IL
Practice address
2220 W Manchester Blvd
Inglewood, CA 90305-2514
Phone
(310) 644-8400
NPI assigned
Dec 27, 2005
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036045642 IL Primary

Addresses

Primary practice location

2220 W Manchester Blvd
Inglewood, CA 90305-2514

Mailing address

2220 W Manchester Blvd
Inglewood, CA 90305-2514
Phone (310) 644-8400

Other identifiers 1

IdentifierTypeStateIssuer
CB341513OtherCAMEDICARE PTAN CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200323001276 CA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 3274531660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
University of Chicago, Pritzker School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uptimum Medical Group and Ipa IncGroup PAC ID 4183993637, 4 clinicians

Practice addresses (Care Compare)

2220 W Manchester Blvd
Inglewood, CA 90305-2514
Phone (310) 644-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036045642ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uptimum Medical Group and Ipa Inc Medical Oncology CurrentSince Feb 3, 2020 Accepting new patients
Ctca Physicians Group of Illinois, Inc Medical Oncology Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Ctca Physicians Group of Illinois, LLC PastSince Aug 1, 2021 Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

2220 W Manchester Blvd
Inglewood, CA 90305
Phone (310) 644-8400

4253 Redondo Beach Blvd
Lawndale, CA 90260
Phone (310) 370-5888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1932186467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052514",
            "telephone_number": "310-644-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052514",
            "telephone_number": "310-644-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036045642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN CA",
            "identifier": "CB341513",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.