Individual provider Active NPI

Eric B Leavitt, M.D.

  • Otolaryngology Physician
  • Spokane Valley, WA
National Provider Identifier
1376549329
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00029327 Issued in WA
Practice address
1424 N. McDonald Road
Ste 101
Spokane Valley, WA 99216-1088
Phone
(509) 928-7272
Fax
(509) 928-7346
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00029327 WA Primary

Addresses

Primary practice location

1424 N. McDonald Road
Ste 101
Spokane Valley, WA 99216-1088

Mailing address

1424 N. McDonald Road
Ste 101
Spokane Valley, WA 99216-1088
Phone (509) 928-7272

Other identifiers 3

IdentifierTypeStateIssuer
8919359OtherWACRIME VICTIMS
8139495MedicaidWA
44031OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000337 WA Practitioner - Otolaryngology 0840376216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1424 N McDonald Rd
Suite 101
Spokane Valley, WA 99216-1088
Phone (509) 928-7272

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
100
Improvement activities
40
Cost
25.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Valley Ear Nose & Throat PS CurrentSince Aug 2, 1992 Accepting new patients
Spokane Valley Ear, Nose &Throat, P.S. CurrentSince Aug 2, 1992 Accepting new patients

Locations

1424 N McDonald Rd
Ste 101
Spokane Valley, WA 99216
Phone (509) 928-1287

Interoperability endpoints

  • Direct secure messaging: eric.leavitt@svent.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72522

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1376549329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N. MCDONALD ROAD",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161088",
            "telephone_number": "509-928-7272",
            "fax_number": "509-928-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N. MCDONALD ROAD",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161088",
            "telephone_number": "509-928-7272",
            "fax_number": "509-928-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "ERIC",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00029327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8919359",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8139495",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "44031",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.