Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin J Levine, MD

Individual provider Diagnostic Radiology Physician · NPI 1639369150

Justin J Levine, MD is a Diagnostic Radiology in Charleston, West Virginia. Graduated from Tulane University School of Medicine in 2004, 22 years ago. Practices with Ellis Hospital, a 252-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Maine, New York and West Virginia.

Years since qualifying
22
Trained at
Tulane University School of Medicine
Licensed in
ME, NY, WV
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 Laidley St
Charleston, WV 25301-1614
Phone: (304) 343-4625
Fax: (304) 343-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1401
  • 2520 Valley Dr, Point Pleasant, WV 25550-2031 — (304) 343-4625
  • 4800 Maccorkle Ave Sw, South Charleston, WV 25309 — (304) 767-7730
  • 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 — (304) 343-4625

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 237757 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 30090 (WV)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD19449 (ME)

Record details

NPI number1639369150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2007
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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