Active NPI
Herriet V Tupas Levitan MD PA
- Internal Medicine Physician
- Winter Park, FL
National Provider Identifier
1366534018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50502
- Legal business name
- HERRIET V TUPAS LEVITAN MD PA
- Practice address
- 1925 Mizell Avenue
Suite #301
Winter Park, FL 32792 - Phone
- (407) 645-4441
- Fax
- (407) 645-3242
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Herriet V Tupas Levitan, MD PA
- Title
- President
- Phone
- (407) 645-4441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 50502 | FL | Primary |
Addresses
Primary practice location
1925 Mizell Avenue
Suite #301
Winter Park, FL 32792
Mailing address
PO Box 88
Winter Park, FL 32790
Phone (407) 645-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047659500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2100 Aloma Ave
Ste 202
Winter Park, FL 32792
Phone (407) 214-3051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Winter Park, FL
- NPI 1821180779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278374400000",
"number": "1366534018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32790",
"telephone_number": "407-645-4441",
"fax_number": "407-645-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 MIZELL AVENUE",
"address_2": "SUITE #301",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-645-4441",
"fax_number": "407-645-3242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERRIET V TUPAS LEVITAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2010-07-06",
"status": "A",
"authorized_official_last_name": "TUPAS LEVITAN",
"authorized_official_first_name": "HERRIET",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-645-4441",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "50502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047659500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.