NPIMap

Individual provider Active NPI

Jeffrey R Levenson, M.D.

  • Infectious Disease Physician
  • Saint Petersburg, FL
National Provider Identifier
1528031408
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0055609 Issued in FL
Practice address
1700 66TH St N
Suite 510
Saint Petersburg, FL 33710-5544
Phone
(727) 384-2479
Fax
(727) 384-3573
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0055609 FL Primary

Addresses

Primary practice location

1700 66TH St N
Suite 510
Saint Petersburg, FL 33710-5544

Mailing address

1700 66TH St N
Suite 510
Saint Petersburg, FL 33710-5544
Phone (727) 384-2479

Other identifiers 1

IdentifierTypeStateIssuer
257401200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000212 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 7810899119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Bay Area Medical AssociatesGroup PAC ID 6901708205, 4 clinicians

Practice addresses (Care Compare)

1700 66TH St N
Suite 510
St Petersburg, FL 33710-5512
Phone (727) 384-2479

8207 113TH St N
Seminole, FL 33772-4128
Phone (727) 397-3991

Hospital & facility affiliations

  • Hygeia Home Health LLC Home health agency, Largo, FL, CCN 108461
  • Aspire Home Care Home health agency, Clearwater, FL, CCN 683187
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • Tierra Pines Center Nursing home, Largo, FL, CCN 105398
  • Freedom Square Health Care Center Nursing home, Seminole, FL, CCN 106042

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
73.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055609FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J Misischia DO Past Accepting new patients
Elias Kanaan MD PA PastSince Aug 20, 2001 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJGBAA

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 9

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1528031408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 66TH ST N",
            "address_2": "SUITE 510",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105544",
            "telephone_number": "727-384-2479",
            "fax_number": "727-384-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 66TH ST N",
            "address_2": "SUITE 510",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105544",
            "telephone_number": "727-384-2479",
            "fax_number": "727-384-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0055609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257401200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.