Individual provider Active NPI

Yelena Levandovski, PA

  • Physician Assistant
  • Garfield Heights, OH
National Provider Identifier
1366907891
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005793 Issued in OH
Practice address
12395 McCracken Rd Ste a
Garfield Heights, OH 44125-2946
Phone
(216) 587-6727
NPI assigned
Feb 8, 2019
Last updated
May 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005793 OH Primary

Addresses

Primary practice location

12395 McCracken Rd Ste a
Garfield Heights, OH 44125-2946

Mailing address

1840 Hickory LN
Broadview Heights, OH 44147-3611
Phone (440) 623-6193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001008 OH Practitioner - Physician Assistant 5395071559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005793OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Jun 15, 2019 Accepting new patients

Locations

12395 McCracken Rd
Ste A
Garfield Hts, OH 44125
Phone (216) 504-3646

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 375-9897

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1366907891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 HICKORY LN",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473611",
            "telephone_number": "440-623-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE A",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252946",
            "telephone_number": "216-587-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANDOVSKI",
        "first_name": "YELENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.