Individual provider Active NPI

Robert C Levine, MD

  • Family Medicine Physician
  • Ferndale, MI
National Provider Identifier
1104815232
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301051449 Issued in MI
Practice address
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone
(248) 336-4000
Fax
(248) 336-9137
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301051449 MI Primary

Addresses

Primary practice location

911 E 9 Mile Rd
Ferndale, MI 48220-1934

Mailing address

390 Enterprise CT Ste 103
Bloomfield Hills, MI 48302-0320
Phone (248) 480-4222

Other identifiers 2

IdentifierTypeStateIssuer
70-0-F32947-0OtherMIBCBS CPIN #
1104815232MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000807 MI Practitioner - Family Practice 3476456112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Family Health Care PC 20 clinicians

Practice addresses (Care Compare)

20720 Plymouth Rd
Detroit, MI 48228-1275
Phone (313) 493-4330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Coverage Services PC CurrentSince Nov 30, 2020 Accepting new patients
Park Family Health Care, P.C. Family Medicine CurrentSince Jun 18, 2022 Accepting new patients
Inpatient Consultants of Michigan PC Past Accepting new patients
Alliance of Home Care Physicians, PC Past Accepting new patients
Telemed Consultants PLLC Past Accepting new patients
Midwest Physician Services PC Past Accepting new patients

Locations

20720 Plymouth Rd
Detroit, MI 48228
Phone (313) 342-1997

G2065 S Center Rd
Flint, MI 48519
Phone (810) 250-3800

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

28212 Franklin Rd
Southfield, MI 48034

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

Interoperability endpoints

  • Direct secure messaging: robert.levinemd.p1@direct.gchc.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1104815232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ENTERPRISE CT STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020320",
            "telephone_number": "248-480-4222",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201934",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CPIN #",
            "identifier": "70-0-F32947-0",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104815232",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.