Individual provider Active NPI

Grace Angela Levy-Clarke, MD

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Tampa, FL
National Provider Identifier
1437342847
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
ME99689 Issued in FL
Practice address
11809 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone
(727) 317-5830
Fax
(888) 412-1795
NPI assigned
Aug 20, 2007
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X ME99689 FL Primary

Addresses

Primary practice location

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505

Mailing address

1703 N McMullen Booth Rd Unit 764
Safety Harbor, FL 34695-9630
Phone (727) 317-5830

Other practice location 1

907 N Parsons Ave
Brandon, FL 33510-3107
Phone (727) 317-5830

Other practice location 2

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone (727) 317-5830

Other practice location 3

13940 N US Highway 441 Ste 503
The Villages, FL 32159-8953
Phone (727) 317-5830

Other identifiers 2

IdentifierTypeStateIssuer
09283OtherFLBCBS
280096900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glevyclarke277241@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070927000975 FL Practitioner - Ophthalmology 5890880363
I20211214000207 WV Practitioner - Ophthalmology 5890880363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99689FLMDUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 2, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 2, 2021 Accepting new patients
Chesapeake Eye Center, P.a. Past Accepting new patients
Lebowitz Medical Group PA Past Accepting new patients
Precision Eye Care, a Medical Corp Clinic Past Accepting new patients

Locations

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: glevyclarke277241@direct.wvuhsdirect.com

Organizations & group practices 6

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1437342847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N MCMULLEN BOOTH RD UNIT 764",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346959630",
            "telephone_number": "727-317-5830",
            "fax_number": "888-539-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "727-317-5830",
            "fax_number": "888-412-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 N Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335103107",
            "country_code": "US",
            "telephone_number": "727-317-5830",
            "fax_number": "888-412-1795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Seven Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346553933",
            "country_code": "US",
            "telephone_number": "727-317-5830",
            "fax_number": "888-412-1795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13940 N US Highway 441 Ste 503",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598953",
            "country_code": "US",
            "telephone_number": "727-317-5830",
            "fax_number": "888-412-1795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY-CLARKE",
        "first_name": "GRACE",
        "middle_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "FL",
            "license": "ME99689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09283",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280096900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glevyclarke277241@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.