Steven Levin
Individual provider Active NPI Vascular Surgery Physician · Eau Claire, WI
NPI 1720064207 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1720064207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 53717 (MN)
- Practice address
- 900 W Clairemont Ave
Eau Claire, WI 54701-6122 - Phone
- (715) 717-4121
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Southeast Wisconsin Inc
Columbia St Marys Hospital Milwaukee Inc
Practice addresses (Care Compare)
19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 780-4111
2350 N Lake Dr
Suite 400
Milwaukee, WI 53211-4528
Phone (414) 271-1633
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension All Saints Hospital
- Ascension St Francis Hospital
- Ascension SE Wisconsin Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 13 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130716000574 | MN | Practitioner - Vascular Surgery | 6406870096 | Reassigns benefits to 1 organization |
| I20181017000119 | WI | Practitioner - Vascular Surgery | 6406870096 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53717 | MN | MD | Vascular Surgery Physician |
| MD.201353 | LA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 018221 | ME | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Vascular Surgery | Current |
Accepting new patients |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Arnett Clinic, LLC | Past | Accepting new patients | |
| Arnett Clinic, LLC | Past | Accepting new patients | |
| Ascension All Saints Hospital, Inc | Past | Accepting new patients | |
| Arnett Clinic, LLC | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
920 E 1st St
Ste 302
Duluth, MN 55805
Phone (218) 249-6050
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 270-1633
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
3803 Spring St
Ste 410
Mount Pleasant, WI 53405
Phone (262) 631-8700
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD.201353 | LA | |
| Vascular Surgery Physician | 2086S0129X | 53717 | MN | Yes |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 018221 | ME |
Addresses
Primary practice location
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Mailing address
4512 N Saginaw Rd
Midland, MI 48640-2369
Phone (612) 499-7274
Other practice location 1
1900 Columbus Avenue
Mayo Mail Code 195
Bay City, MI 48708
Phone (989) 894-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033677 | Medicaid | LA | |
| 434575299 | Medicaid | ME |
Other providers in Eau Claire, WI
- Laurie Ann Lessard
- Alison Joy Lester
- Let'S Begin Again LLC
- Nathaniel Thomas Leu
- Erika Leuthe
- Timothy E Levin
- Brittney Josephine Lewallen
- Sarah Elizabeth Lewis
- Thomas Lewis
- Ellen Tsyjyu Liang
All providers in Eau Claire, WI · Vascular Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.