Individual provider Active NPI

Msonthi B Levine, MD

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1962430413
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8650 Issued in TX
Practice address
3080 Milam St
Beaumont, TX 77701-4828
Phone
(409) 347-3621
Fax
(409) 860-9078
NPI assigned
Jun 30, 2006
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8650 TX Primary

Addresses

Primary practice location

3080 Milam St
Beaumont, TX 77701-4828

Mailing address

3080 Milam St
Beaumont, TX 77701-4828
Phone (409) 347-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050405000890 TX Practitioner - Internal Medicine 2466409172 Reassigns benefits to 1 organization
Practice locations: Beaumont, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3080 Milam St
Beaumont, TX 77701-4828
Phone (409) 347-3621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Triangle Internal Medicine PA Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Baptist Hospitals of Southeast Texas Past Accepting new patients
Msonthi B, Levine, PA PastSince Jan 1, 1990 Accepting new patients
Christus Health Southeast Texas Past Accepting new patients
Ahmad Medical PC Internal Medicine Past Accepting new patients
Chambers County Public Hospital District No 1 Past Accepting new patients

Locations

3080 Milam St
Beaumont, TX 77701
Phone (409) 347-3621

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCCAA/Endpoint/AGCCAA
  • Direct secure messaging: mlevine@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Focused Care at Summer PlaceBeaumont, TX, CCN 676210 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 20, 2019
May 20, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1962430413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 MILAM ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014828",
            "telephone_number": "409-347-3621",
            "fax_number": "409-860-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 MILAM ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014828",
            "telephone_number": "409-347-3621",
            "fax_number": "409-860-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MSONTHI",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.