Active NPI
Mitchell Levy, M.D.
- Specialist
- Plantation, FL
National Provider Identifier
1649374026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0026721
- Practice address
- 201 NW 82ND Ave
Suite 203
Plantation, FL 33324-7808 - Phone
- (954) 473-0553
- Fax
- (954) 473-0893
- NPI assigned
- Sep 7, 2006
- Last updated
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0026721 | FL | Primary |
Addresses
Primary practice location
201 NW 82ND Ave
Suite 203
Plantation, FL 33324-7808
Mailing address
201 NW 82ND Ave
Suite 203
Plantation, FL 33324-7808
Phone (954) 473-0553
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29729 | Other | FL | EMPIRE BC/BS |
| 0648004 | Other | FL | CIGNA |
| P00020471 | Other | FL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0026721 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1649374026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NW 82ND AVE",
"address_2": "SUITE 203",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247808",
"telephone_number": "954-473-0553",
"fax_number": "954-473-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NW 82ND AVE",
"address_2": "SUITE 203",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247808",
"telephone_number": "954-473-0553",
"fax_number": "954-473-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0026721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "29729",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0648004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00020471",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.