Active NPI
Diane Lynn Levine, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301046192
- Practice address
- 50 E Canfield St
General Medicine Ambulatory Practice
Detroit, MI 48201-1804 - Phone
- (313) 745-4525
- Fax
- (313) 966-7305
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301046192 | MI | Primary |
Addresses
Primary practice location
50 E Canfield St
General Medicine Ambulatory Practice
Detroit, MI 48201-1804
Mailing address
1560 E Maple Road
Suite 400- Credentialing
Troy, MI 48083-1138
Phone (313) 745-4525
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-4525
Hospital & facility affiliations
- Detroit Receiving Hospital
- Harper University Hospital
- Karmanos Cancer Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients | |
| Barbara Ann Karmanos Cancer Hospital | Past | Accepting new patients | |
| VHS Detroit Receiving Hospital Inc | Past | Accepting new patients |
Locations
4201 Saint Antoine St
Ste 6A
Detroit, MI 48201
Phone (313) 745-4230
50 E Canfield St
Detroit, MI 48201
Phone (313) 577-9704
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
#4
Detroit, MI 48201
3901 Chrysler Dr
Ste 4A
Detroit, MI 48201
Phone (313) 966-7601
4201 Saint Antoine St
Ste 4C
Detroit, MI 48201
Phone (313) 993-8645
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- diane.levine.1@19711.direct.athenahealth.com
- dlevine2@direct.dmc.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1114964608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE ROAD",
"address_2": "SUITE 400- CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-745-4525",
"fax_number": "331-396-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E CANFIELD ST",
"address_2": "GENERAL MEDICINE AMBULATORY PRACTICE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011804",
"telephone_number": "313-745-4525",
"fax_number": "313-966-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "DIANE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301046192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.