Individual provider Active NPI

Robert M Levitt, M.D.

  • Specialist
  • Dover, OH
National Provider Identifier
1124036793
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-064326 Issued in OH
Practice address
400 Medical Park Dr
Suite 203
Dover, OH 44622-3207
Phone
(330) 602-7702
Fax
(330) 602-4169
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-064326 OH Primary

Addresses

Primary practice location

400 Medical Park Dr
Suite 203
Dover, OH 44622-3207

Mailing address

400 Medical Park Dr
Suite 203
Dover, OH 44622-3207
Phone (330) 602-7702

Other identifiers 9

IdentifierTypeStateIssuer
CG7848OtherOHRR MEDICARE GROUP #
000000538784OtherOHANTHEM
0266626MedicaidOH
341882527OtherOHTAX ID
P00458762OtherOHRR MEDICARE
1124036793OtherOHNPI
9301652OtherOHMEDICARE GROUP #
2187360OtherOHMEDICAID GROUP #
341882527QOtherOHAULTCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071213000156 OH Practitioner - General Surgery 6608802889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

400 Medical Park Dr
Suite 203
Dover, OH 44622-3207
Phone (330) 602-7702

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Hernia repair - groin (open)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision17
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-064326OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Physician Services, LLC CurrentSince Jan 1, 2014 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Regional Vascular & Vein Institute Inc PastSince Jul 1, 2012 Accepting new patients
Regional Vascular & Vein Institute PastSince Apr 17, 2020 Accepting new patients

Locations

400 Medical Park Dr
Ste 203
Dover, OH 44622
Phone (330) 602-4509

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

Interoperability endpoints

  • Direct secure messaging: rlevitt1247502@direct.ccf.org
  • Direct secure messaging: robertlevitt@dpfm.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1124036793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 203",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-602-7702",
            "fax_number": "330-602-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 203",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-602-7702",
            "fax_number": "330-602-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITT",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-064326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CG7848",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000538784",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266626",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341882527",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00458762",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124036793",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "9301652",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "2187360",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AULTCARE",
            "identifier": "341882527Q",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.