Individual provider Active NPI

Gerald J Levinson, D.O.

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1295749471
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101005993 Issued in MI
Practice address
30055 Northwestern Hwy Ste 160
Farmington Hills, MI 48334-3211
Phone
(248) 865-4160
Fax
(248) 865-4161
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301005993 MI
Internal Medicine Physician 207R00000X 5101005993 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 160
Farmington Hills, MI 48334-3211

Mailing address

30055 Northwestern Hwy Ste 160
Farmington Hills, MI 48334-3211
Phone (248) 865-4160

Other practice location 1

32270 Telegraph Rd
Ste 100
Bingham Farms, MI 48025-2456
Phone (248) 258-2888

Other practice location 2

32270 Telegraph Rd
Ste 100
Bingham Farms, MI 48025-2456
Phone (248) 258-2888

Other identifiers 1

IdentifierTypeStateIssuer
4731442MedicaidMI

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
I20040414000223 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9234123944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101005993MIMDInternal Medicine Physician
4301005993MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Sep 1, 2015 Accepting new patients

Locations

30055 Northwestern Hwy
Ste 160
Farmington Hills, MI 48334
Phone (248) 865-4150

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: geraldlevinson@cab.allscriptsdirect.net

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295749471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 160",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4160",
            "fax_number": "248-865-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 160",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4160",
            "fax_number": "248-865-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32270 Telegraph Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480252456",
            "country_code": "US",
            "telephone_number": "248-258-2888",
            "fax_number": "248-258-6849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32270 Telegraph Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480252456",
            "country_code": "US",
            "telephone_number": "248-258-2888",
            "fax_number": "248-258-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "GERALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301005993",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101005993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4731442",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.