Individual provider Active NPI

Daniel E Levin, MD, FACOG

  • Obstetrics & Gynecology Physician
  • North Miami, FL
National Provider Identifier
1639108269
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME97667 Issued in FL
Practice address
12550 Biscayne Boulevard
Suite 604
North Miami, FL 33181-2544
Phone
(305) 981-0231
Fax
(305) 981-0232
NPI assigned
Jul 3, 2006
Last updated
May 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME97667 FL Primary
Gynecology Physician 207VG0400X 18066 MS

Addresses

Primary practice location

12550 Biscayne Boulevard
Suite 604
North Miami, FL 33181-2544

Mailing address

12550 Biscayne Boulevard
Suite 604
North Miami, FL 33181-2544
Phone (305) 981-0231

Other identifiers 2

IdentifierTypeStateIssuer
03278868MedicaidMS
280915000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080415000392 FL Practitioner - Obstetrics/Gynecology 9335129485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18066MSMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jun 1, 2010 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

12550 Biscayne Blvd
Ste 604
North Miami, FL 33181
Phone (305) 936-9393

Interoperability endpoints

  • Direct secure messaging: daniel.levin@fla016.digichart.direct-ci.com

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1639108269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BOULEVARD",
            "address_2": "SUITE 604",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812544",
            "telephone_number": "305-981-0231",
            "fax_number": "305-981-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BOULEVARD",
            "address_2": "SUITE 604",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812544",
            "telephone_number": "305-981-0231",
            "fax_number": "305-981-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD, FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME97667",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MS",
            "license": "18066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03278868",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280915000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.