NPIMap

Individual provider Active NPI

Frederic J. Levine, M.D.

  • Urology Physician
  • Willoughby, OH
National Provider Identifier
1043205867
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35060202 Issued in OH
Practice address
35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523
Phone
(440) 753-0018
Fax
(440) 753-0035
NPI assigned
Sep 19, 2005
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35060202 OH Primary

Addresses

Primary practice location

35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523

Mailing address

35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523
Phone (440) 753-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000160 OH Practitioner - Urology 8022061407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Levine and Reigle IncGroup PAC ID 7719930197, 2 clinicians

Practice addresses (Care Compare)

35110 Euclid Ave
Suite 2
Willoughby, OH 44094-4523
Phone (440) 753-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Levine & Reigle, Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

6803 Mayfield Rd
Ste 418
Mayfield Hts, OH 44124
Phone (440) 753-0018

35110 Euclid Ave
Ste 2
Willoughby, OH 44094
Phone (440) 753-0018

Interoperability endpoints

  • Direct secure messaging: flevine37542@ehrdirect.uhhospitals.org

Organizations & group practices 2

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1043205867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE STE 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "440-753-0018",
            "fax_number": "440-753-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE STE 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "440-753-0018",
            "fax_number": "440-753-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "FREDERIC",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35060202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.