Individual provider Active NPI

Emily B Levin, MD

  • Dermatology Physician
  • Southfield, MI
National Provider Identifier
1437140456
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301076028 Issued in MI
Practice address
29355 Northwestern Hwy
Suite 200
Southfield, MI 48034-1053
Phone
(248) 353-0880
Fax
(248) 353-3646
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301076028 MI Primary

Addresses

Primary practice location

29355 Northwestern Hwy
Suite 200
Southfield, MI 48034-1053

Mailing address

29355 Northwestern Hwy
Suite 200
Southfield, MI 48034-1018
Phone (248) 353-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040628000978 MI Practitioner - Dermatology 6800872060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Dermatolgy Group PCGroup PAC ID 5799767596, 3 clinicians

Practice addresses (Care Compare)

32270 Telegraph Rd
Suite 200
Bingham Farms, MI 48025-2428
Phone (248) 353-0880

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
84.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue11
Removal of skin lesions615
Skin biopsy153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Dermatolgy Group, PC CurrentSince Jul 1, 2004 Accepting new patients

Locations

32270 Telegraph Rd
Ste 200
Bingham Farms, MI 48025
Phone (248) 353-0880

29355 Northwestern Hwy
Ste 200
Southfield, MI 48034
Phone (248) 262-9100

29275 Northwestern Hwy
Ste 207
Southfield, MI 48034
Phone (248) 354-2201

Interoperability endpoints

  • Direct secure messaging: elevin1139155@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1437140456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341018",
            "telephone_number": "248-353-0880",
            "fax_number": "248-353-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341053",
            "telephone_number": "248-353-0880",
            "fax_number": "248-353-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "EMILY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301076028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.