Individual provider Active NPI

Jason Levitre, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1326017179
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3945 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
022468300MedicaidFL
P00253865OtherWYRAILROAD MEDICARE
PO3945OtherFLMEDICAL LICENCE
121784400MedicaidWY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202000825 FL Practitioner - Podiatry 9133152804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

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

ProcedureNumber of procedures
Removal of tissue122
Removal of skin lesions127
Removal of nail tissue1304
Removal or shaving of skin growth51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127WYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Oct 1, 2017 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Feb 15, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA Foot Surgery CurrentSince Jan 15, 2025 Accepting new patients
Certified Foot & Ankle Specialists Podiatrist CurrentSince Oct 1, 2017 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Gary S Wallach DPM PA Foot Surgery PastSince Nov 29, 2004 Accepting new patients
Evanston Family Foot Care Foot & Ankle Surgery PastSince Apr 4, 2005 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

  • Direct secure messaging: jason.levitre.1@4399.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.