FRED LEVINE (M.D., PH.D.) – Clinical Genetics (M.D.) Physician, NPI 1154493476

FRED LEVINE (M.D., PH.D.) is a healthcare provider. based in San diego, California. specializing in Clinical Genetics (M.D.) Physician. They hold the professional credentials M.D., PH.D.. They hold a License No. G65341 (CA). The NPI Number for FRED LEVINE (M.D., PH.D.) is 1154493476

Main info

Male
Name
FRED LEVINE (M.D., PH.D.)
NPI
1154493476
Phone
(619) 543-7800
Address
3020 CHILDRENS WAY
Enumeration Date
14 November 2006
Last Update Date
9 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FRED LEVINE (M.D., PH.D.)

  • Rady Children's Hospital-San Diego, 3020, Children's Way, Birdland, Serra Mesa, San Diego, San Diego County, California, 92123, United States

    MC5110

    SAN DIEGO, CA 921234223

    Phone: (619) 543-7800

    Type: Mailing

  • 7910, Frost Street, Serra Mesa, San Diego, San Diego County, California, 92123, United States

    STE 200

    SAN DIEGO, CA 921232771

    Phone: (619) 543-7800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Horizon Therapeutics plc ($57).

Total Amount

$80

General + Research + Ownership

Payments

2

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-06-20

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
I20140620002178IMedical Genetics And GenomicsCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92123)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is FRED LEVINE (M.D., PH.D.) identified in CMS data?
CMS-hosted NPPES data lists FRED LEVINE (M.D., PH.D.) with NPI 1154493476.
Can I rely on FRED LEVINE (M.D., PH.D.) being an active provider?
As of the registry snapshot, FRED LEVINE (M.D., PH.D.) is marked active.
What is FRED LEVINE (M.D., PH.D.)'s specialty?
The listing groups FRED LEVINE (M.D., PH.D.) with Clinical Genetics (M.D.) Physician. Clinical services aligned with this taxonomy classification.
Where is FRED LEVINE (M.D., PH.D.) based?
FRED LEVINE (M.D., PH.D.) is tied to San Diego, California in the data we show; additional addresses may exist on the full record.
Is the information about FRED LEVINE (M.D., PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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