Active NPI
Jason Levitre, DPM
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3945
- Practice address
- 13400 Sutton Park Dr S Ste 1103
Jacksonville, FL 32224-0235 - Phone
- (904) 368-2328
- NPI assigned
- Mar 15, 2006
- Last updated
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 127 | WY | |
| Podiatrist | 213E00000X | PO3945 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3945 | FL | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 127 | WY |
Addresses
Primary practice location
13400 Sutton Park Dr S Ste 1103
Jacksonville, FL 32224-0235
Mailing address
1890 Lpga Blvd Ste 230
Daytona Beach, FL 32117-7131
Other practice location 1
196 Arrowhead Dr
Suite 8
Evanston, WY 82930
Phone (307) 789-8997
Other practice location 2
817 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone (954) 753-3030
Other practice location 3
2737 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1641
Phone (954) 561-3338
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022468300 | Medicaid | FL | |
| P00253865 | Other | WY | RAILROAD MEDICARE |
| PO3945 | Other | FL | MEDICAL LICENCE |
| 121784400 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1140 SW Bascom Norris Dr
Lake City, FL 32025-1329
Phone (386) 755-7776
345 W Madison St
Starke, FL 32091-3923
Phone (904) 875-8967
PO Box
Melrose, FL 32666-1099
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 122 |
| Removal of skin lesions | 127 |
| Removal of nail tissue | 1304 |
| Removal or shaving of skin growth | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127 | WY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Foot & Ankle Specialists | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Podiatrist | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Foot Surgery | Current | Accepting new patients |
| Certified Foot & Ankle Specialists | Podiatrist | Current | Accepting new patients |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Podiatrist | Current | Accepting new patients |
| Gary S Wallach DPM PA | Foot Surgery | Past | Accepting new patients |
| Evanston Family Foot Care | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199
817 Coral Ridge Dr
Coral Springs, FL 33071
Phone (954) 753-3030
1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117
Phone (386) 274-3336
13400 Sutton Park Dr S
Ste 1103
Jacksonville, FL 32224
Phone (904) 223-8060
819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234
1140 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 755-7776
1140 SW Bascom Norris Dr
Ste 102
Lake City, FL 32025
Phone (386) 261-6522
975 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 465-4104
7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211
595 W Granada Blvd
Ste F
Ormond Beach, FL 32174
Phone (386) 673-2266
11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509
790 Dunlawton Ave
Ste C
Port Orange, FL 32127
Phone (386) 788-6333
345 W Madison St
Starke, FL 32091
Phone (904) 964-5455
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
102 Woodmont Blvd
Ste 450
Nashville, TN 37205
Interoperability endpoints
- jason.levitre.1@4399.direct.athenahealth.com
- levitre.jason.011.0250010@poa.meditab.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
dba Multi Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Boca Raton, FL
- NPI 1699904169
Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Evanston, WY
- NPI 1700060902
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
dba Multi-Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Jupiter, FL
- NPI 1083269955
Foot & Ankle Surgery
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Foot Surgery Podiatrist
- Fort Lauderdale, FL
- NPI 1013020924
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mederi Caretenders
- Home Health Agency
- Gainesville, FL
- NPI 1649377847
-
dba HCA Florida North Florida Hospital
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
-
dba HCA Florida Lake City Hospital
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1326017179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 LPGA BLVD STE 230",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 SUTTON PARK DR S STE 1103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240235",
"telephone_number": "904-368-2328"
}
],
"practiceLocations": [
{
"address_1": "196 Arrowhead Dr",
"address_2": "Suite 8",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "WY",
"postal_code": "82930",
"country_code": "US",
"telephone_number": "307-789-8997",
"fax_number": "307-789-2624",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 Coral Ridge Dr",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330714180",
"country_code": "US",
"telephone_number": "954-753-3030",
"fax_number": "954-666-0410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2737 E Oakland Park Blvd",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333061641",
"country_code": "US",
"telephone_number": "954-561-3338",
"fax_number": "954-566-3051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVITRE",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WY",
"license": "127",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3945",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3945",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "WY",
"license": "127",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022468300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00253865",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE",
"identifier": "PO3945",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121784400",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.