DR. ELLYN LEVINE (M.D.) – Internal Medicine Physician, NPI 1760470546

DR. ELLYN LEVINE (M.D.) is a healthcare provider. based in San diego, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. G86297 (CA). The NPI Number for DR. ELLYN LEVINE (M.D.) is 1760470546

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLYN LEVINE (M.D.)
NPI
1760470546
Phone
(619) 567-6914
Address
3830 VALLEY CENTRE DR
Enumeration Date
6 October 2005
Last Update Date
12 March 2018

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6195676914
Graduation Year
1994 (32 years ago)
PAC ID
8022041706
Professional Enrollment ID
I20050913001323
Address ID
CA919422080LA5290XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. ELLYN LEVINE (M.D.)

  • Commercial Capital Bank, 3830, Valley Centre Drive, San Diego, San Diego County, California, 92130, United States

    UNIT 705-306

    SAN DIEGO, CA 921303320

    Phone: (619) 567-6914

    Fax: (619) 567-6916

    Type: Mailing

  • 5290, Baltimore Drive, La Mesa, San Diego County, California, 91941, United States

    LA MESA, CA 919422080

    Phone: (619) 567-6914

    Fax: (619) 567-6916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $831.

Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: ABBVIE INC. ($831).

Total Amount

$831

General + Research + Ownership

Payments

7

Total payment records

General Amount

$831

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$831
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050913001323IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3022$0
36415Insertion of needle into vein for collection of blood sample2520$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1616$0
View full utilization report →

Insurance plans in this area (ZIP 92130)

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Reviews

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Frequently asked questions

Does DR. ELLYN LEVINE (M.D.) have a public NPI I can cite?
Public records show DR. ELLYN LEVINE (M.D.) under NPI 1760470546.
Is DR. ELLYN LEVINE (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ELLYN LEVINE (M.D.) as active.
What type of care does DR. ELLYN LEVINE (M.D.) provide?
DR. ELLYN LEVINE (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ELLYN LEVINE (M.D.)?
DR. ELLYN LEVINE (M.D.) shows a connection to San Diego, California in registry-derived data.
Why is information missing for DR. ELLYN LEVINE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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