Individual provider Active NPI

David Alan Levine, MD

  • Geriatric Medicine (Family Medicine) Physician
  • St Petersburg, FL
National Provider Identifier
1114914249
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME51828 Issued in FL
Practice address
4957 38TH Ave N
Ste B
St Petersburg, FL 33710-2174
Phone
(727) 522-8878
Fax
(727) 521-1192
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME51828 FL Primary

Addresses

Primary practice location

4957 38TH Ave N
Ste B
St Petersburg, FL 33710-2174

Mailing address

4957 38TH Ave N
Ste B
St Petersburg, FL 33710-2174
Phone (727) 522-8878

Other identifiers 2

IdentifierTypeStateIssuer
07794OtherFLBCBS
038968400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100712000251 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 4587796560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Miami, LM Miller School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

4957 38TH Ave N
Suite B
St Petersburg, FL 33710-2174

6280 Central Ave
Suite H2
St Petersburg, FL 33707-1429
Phone (800) 699-9395

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Clearwater, FL, CCN 103175
  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Marion and Bernard L Samson Nursing Center Nursing home, Saint Petersburg, FL, CCN 105504

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David a Levine M D Inc Geriatric Medicine CurrentSince Mar 22, 2010 Accepting new patients

Locations

4957 38th Ave N
Ste B
St Petersburg, FL 33710
Phone (727) 522-8878

Interoperability endpoints

  • Direct secure messaging: davidlevine@dalmdi-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marion and Bernard L. Samson Nursing CenterSt Petersburg, FL, CCN 105504 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 1995
Mar 18, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1114914249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "address_2": "STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-522-8878",
            "fax_number": "727-521-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N",
            "address_2": "STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-522-8878",
            "fax_number": "727-521-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME51828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07794",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038968400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.