Michael Ira Levi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

217243 Issued in NY

Practice address

1614 N James St
Rome, NY 13440-2830

Phone

(315) 339-7411

NPI assigned

Jun 2, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Island Medical Associates PC

  • Adult Medicine Physician
  • Far Rockaway, NY
  • NPI 1386702165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1023277464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CYPRESS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402154",
            "telephone_number": "315-281-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402830",
            "telephone_number": "315-339-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "MICHAEL",
        "middle_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217243",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "217243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02086602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Stewart Lee
• Kathleen Lee
• Woo Chan Lee, MFT-LP
• David Joseph Leffingwell III, LMT
• Marcia Lemon
• Melissa S Lewis
• Barbara Ann Libby, L.P.N.
• Ung Kyu Lim, MD
• Lincare Inc
• Linda L. Schicker MD PLLC

• Pediatrics Physician in Rome, NY
• Providers in Rome, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.