DR. JONATHAN LEVIN (M.D.) – Specialist, NPI 1376645150
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JONATHAN LEVIN (M.D.)
3413 Olandwood Ct
Suite 103
Olney, MD 208321489
Phone: (301) 774-1622
Fax: (301) 774-0488
Type: Location
7106 Ridge Rd Ste 100
Rosedale, MD 212373876
Phone: (443) 868-7149
Type: Location
3413, Olandwood Court, Olney Town, Olney, Montgomery County, Maryland, 20832, United States
SUITE 103
OLNEY, MD 208321489
Phone: (301) 774-1622
Fax: (301) 774-0488
Type: Mailing
14021 AMARGOSA RD
VICTORVILLE, CA 923926404
Phone: (760) 983-2030
Type: Location
458 N FULLER AVE STE 103
LOS ANGELES, CA 900362521
Phone: (323) 605-9323
Fax: (301) 774-0488
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040729000986 | I | Physical Medicine And Rehabilitation | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20832)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | MD | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 154 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | IL | |
| Pain Management | CA | |
| Pain Management | CA | |
| - | NY | |
| Physical Medicine And Rehabilitation | CA | |
| Nurse Practitioner | CA | |
| Physical Medicine And Rehabilitation | CA | |
| Nurse Practitioner | CA | |
| Physical Medicine And Rehabilitation | CA |
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