Active NPI
Neil B Levin, DPM
- Podiatrist
- Sycamore, IL
National Provider Identifier
1306805452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016003556
- Practice address
- 1675 Bethany Rd
Suite B
Sycamore, IL 60178 - Phone
- (815) 899-2575
- Fax
- (815) 899-2581
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003556 | IL | Primary |
Addresses
Primary practice location
1675 Bethany Rd
Suite B
Sycamore, IL 60178
Mailing address
1675 Bethany Rd
Suite B
Sycamore, IL 60178
Phone (815) 899-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016003556 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1306805452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 BETHANY RD",
"address_2": "SUITE B",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "60178",
"telephone_number": "815-899-2575",
"fax_number": "815-899-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 BETHANY RD",
"address_2": "SUITE B",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "60178",
"telephone_number": "815-899-2575",
"fax_number": "815-899-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "NEIL",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016003556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.