Individual provider Active NPI

Michael Levi, D.P.M.

  • Podiatrist
  • Santa Monica, CA
National Provider Identifier
1508897869
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3574 Issued in CA
Practice address
2021 Santa Monica Blvd
Suite 304E
Santa Monica, CA 90404-2201
Phone
(310) 829-3636
Fax
(310) 829-3637
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3574 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X E3574 CA

Addresses

Primary practice location

2021 Santa Monica Blvd
Suite 304E
Santa Monica, CA 90404-2201

Mailing address

2021 Santa Monica Blvd
Suite 304E
Santa Monica, CA 90404-2208
Phone (310) 829-3636

Other identifiers 1

IdentifierTypeStateIssuer
000E35740MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000442 CA Practitioner - Podiatry 7315010212 Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 495W
Santa Monica, CA 90404-2129
Phone (310) 829-3636

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions1-10
Removal of nail tissue403
Removal or shaving of skin growth379
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3574CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suchir Sheth Podiatry Corporation Podiatrist CurrentSince Feb 3, 2025 Accepting new patients
Suchir Sheth Podiatry Corporation Podiatrist CurrentSince Feb 3, 2025 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

1000 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 395-5025

2001 Santa Monica Blvd
Ste 465W
Santa Monica, CA 90404
Phone (310) 395-5025

Organizations & group practices 3

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 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1508897869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 304E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-3636",
            "fax_number": "310-829-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 304E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042201",
            "telephone_number": "310-829-3636",
            "fax_number": "310-829-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "MICHAEL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3574",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E35740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.