Peter E. Levanovich, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

4301048303 Issued in MI

Practice address

560 W Mitchell St
Suite 400
Petoskey, MI 49770-2275

Phone

(231) 487-2490

Fax

(231) 487-6055

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

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 2

Specialty

Internal Medicine

Education

University of Vermont College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mackinac Straits Health System IncGroup PAC ID 1456420876, shared by 7 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: plevanovich128147@mymichiganhealth.midirect.net
• Direct secure messaging: peterlevanovich@mshs.allscriptsdirect.net

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.

• Mackinac Straits Health System Inc

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502
  Medicare reassignment NPD
• Mackinac Straits Health System Inc

  • General Practice Physician
  • Saint Ignace, MI
  • NPI 1659536035
  Medicare reassignment NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment NPD
• Mackinac Straits Health System Inc

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1659868206
  NPD
• Pueblo Pintado Clinic

  • Clinic/Center
  • Cuba, NM
  • NPI 1023051133
  NPD
• Thoreau Clinic

  • Clinic/Center
  • Thoreau, NM
  • NPI 1679516702
  NPD
• Mackinac Straits Health System Inc

  • Rural Health Clinic/Center
  • Saint Ignace, MI
  • NPI 1013172493
  NPD (past)

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

• Mackinac Straits Health System Inc

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502
  Care Compare affiliation
• Mackinac Straits Health System Inc

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1659868206

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1124049358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 400",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 400",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANOVICH",
        "first_name": "PETER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301048303",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301048303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDIVIDUAL PI",
            "identifier": "0602429802",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P57812",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4087216",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Duane Leland, DPT
• Karin Lynn Leland, DPT
• Laura E Lenkey, PH D
• Heather Marie Lesnik, CRNA
• Madelyn Lett
• Jody L. Lightfoot, PTA/L
• Lilah Clevey PLLC
• Albert Timothy Linehan IV, M.D.
• Thomas G Ling, MD
• Lauren Link

• Clinical Cardiac Electrophysiology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Clinical Cardiac Electrophysiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.

Verify at the official NPI Registry.