Individual provider Active NPI

Baroukh E. Levi, M.D.

  • Anesthesiology Physician
  • Oak Park, IL
National Provider Identifier
1942236740
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036060789 Issued in IL
Practice address
3 Erie CT
Oak Park, IL 60302-2519
Phone
(708) 383-6200
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036060789 IL Primary
Interventional Pain Medicine Physician 208VP0014X 036060789 IL

Addresses

Primary practice location

3 Erie CT
Oak Park, IL 60302-2519

Mailing address

185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015

Other identifiers 1

IdentifierTypeStateIssuer
0164379150MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040318000450 IL Practitioner - Anesthesiology 3678460870 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036060789ILMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesiologists, LTD. Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
CGH Medical Center Interventional Pain Medicine CurrentSince Dec 16, 2019 Accepting new patients
CGH Medical Center CurrentSince Dec 16, 2019 Accepting new patients
N R Anesthesia & Pain Management S.C. CurrentSince Apr 1, 2011 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Chad Novasic PT LTD PastSince Mar 1, 2019 Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology Past Accepting new patients

Locations

4849 W Fullerton Ave
Chicago, IL 60639
Phone (773) 237-2900

3407 Momentum Pl
Chicago, IL 60689

185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1942236740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PENNY AVE",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181454",
            "telephone_number": "847-836-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-383-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "BAROUKH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036060789",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036060789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164379150",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.