Individual provider Active NPI

Jonathan M Levin, MD

  • Diagnostic Radiology Physician
  • Green Bay, WI
National Provider Identifier
1992726707
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A68115 Issued in CA
Practice address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone
(920) 288-4848
Fax
(920) 288-4956
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 46462020 WI
Diagnostic Radiology Physician 2085R0202X A68115 CA Primary

Addresses

Primary practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046

Other practice location 1

8670 Wilshire Blvd Ste 101
Beverly Hills, CA 90211-2930
Phone (310) 258-2100

Other identifiers 1

IdentifierTypeStateIssuer
34548900MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlevin23610@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040904000108 WI Practitioner - Diagnostic Radiology 2163498775 Reassigns benefits to 13 organizations
I20251030005246 CA Practitioner - Diagnostic Radiology 2163498775 Reassigns benefits to 1 organization
I20260601002475 TX Practitioner - Diagnostic Radiology 2163498775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Clinic LLPGroup PAC ID 4385554328, 197 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-4930

7234 N Beach Dr
Fox Point, WI 53217-3659
Phone (877) 785-0009

8670 Wilshire Blvd
Suite 101
Beverly Hills, CA 90211-2930
Phone (310) 358-2100

Hospital & facility affiliations

  • Aurora Baycare Medical Ctr Hospital, Green Bay, WI, CCN 520193
  • Aurora Medical Ctr Manitowoc County Hospital, Two Rivers, WI, CCN 520034
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • Aurora Medical Center Bay Area Hospital, Marinette, WI, CCN 520113
  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68115CAMDDiagnostic Radiology Physician
46462020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Medical Associates, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 1, 2025 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology Current Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Aug 6, 2025 Accepting new patients
Baycare Clinic LLP CurrentSince Oct 1, 2016 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Oct 23, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Oct 23, 2025 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Baycare Clinic LLP CurrentSince Oct 1, 2016 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Sep 6, 2025 Accepting new patients

Locations

2301 Bahamas Dr
Bakersfield, CA 93309

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8750 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 385-7747

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8436 W 3rd St
Ste 801
Los Angeles, CA 90048
Phone (310) 358-2100

8436 W 3rd St
Ste 600
Los Angeles, CA 90048
Phone (310) 358-2100

4640 Admiralty Way
Ste 102
Marina del Rey, CA 90292
Phone (310) 836-1574

4640 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 836-4700

675 E Santa Clara St
San Jose, CA 95112
Phone (408) 559-2211

2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404
Phone (310) 315-1000

2428 Santa Monica Blvd
Ste 101
Santa Monica, CA 90404
Phone (310) 315-1000

2428 Santa Monica Blvd
Ste 103
Santa Monica, CA 90404
Phone (310) 828-0061

2428 Santa Monica Blvd
Ste 102
Santa Monica, CA 90404
Phone (310) 315-1000

164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1035 Kepler Dr
Green Bay, WI 54311

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1992726707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118320",
            "telephone_number": "920-490-9046",
            "fax_number": "920-405-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116519",
            "telephone_number": "920-288-4848",
            "fax_number": "920-288-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8670 Wilshire Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112930",
            "country_code": "US",
            "telephone_number": "310-258-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "46462020",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A68115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34548900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlevin23610@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2845 Greenbrier Rd",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543116519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.