MARK ROGER LEVINE (M.D.) – Ophthalmology Physician, NPI 1679531628

MARK ROGER LEVINE (M.D.) is a healthcare provider. based in South euclid, Ohio. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. 35-02-9064-L (OH). The NPI Number for MARK ROGER LEVINE (M.D.) is 1679531628

Main info

Male
Name
MARK ROGER LEVINE (M.D.)
NPI
1679531628
Phone
(219) 291-9770
Address
1611 S GREEN RD
Enumeration Date
1 May 2006
Last Update Date
8 July 2007
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

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Provider Addresses for MARK ROGER LEVINE (M.D.)

  • University Suburban Health Center, 1611, South Green Road, South Euclid, Cuyahoga County, Ohio, 44121, United States

    SUITE 306A

    SOUTH EUCLID, OH 441214128

    Phone: (219) 291-9770

    Fax: (216) 297-0550

    Mailing address matches the actual address.

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: 2006-12-05

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
I20061205000038IOphthalmologyOHTBD

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 44121)

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Reviews

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Frequently asked questions

How do payers reference MARK ROGER LEVINE (M.D.)?
For MARK ROGER LEVINE (M.D.), use NPI 1679531628 as the unique 10-digit identifier.
Active or inactive — what applies to MARK ROGER LEVINE (M.D.)?
You should see MARK ROGER LEVINE (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is MARK ROGER LEVINE (M.D.)?
MARK ROGER LEVINE (M.D.) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK ROGER LEVINE (M.D.)?
Travel planning: use South Euclid, Ohio as the reference point for MARK ROGER LEVINE (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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