Individual provider Active NPI

Michael A Levine, MD

  • Urology Physician
  • Lake Success, NY
National Provider Identifier
1750388146
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
195668 Issued in NY
Practice address
2001 Marcus Ave
Suite N-214
Lake Success, NY 11042-1011
Phone
(516) 437-4228
Fax
(516) 355-0637
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 195668 NY Primary

Addresses

Primary practice location

2001 Marcus Ave
Suite N-214
Lake Success, NY 11042-1011

Mailing address

2001 Marcus Ave
Suite N-214
Lake Success, NY 11042-1011
Phone (516) 437-4228

Other identifiers 1

IdentifierTypeStateIssuer
02000273MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050523000768 NY Practitioner - Urology 6709828536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 562-6000

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 970-7000

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100

340 Broadhollow Rd
Suite E
Farmingdale, NY 11735-4807
Phone (516) 280-7930

4100 Duff PL
A
Seaford, NY 11783-1324
Phone (516) 520-8080

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195668NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 21, 2008 Accepting new patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 21, 2008 Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

2001 Marcus Ave
Ste N214
North New Hyde Park, NY 11042
Phone (516) 437-4228

27005 76th Ave
North New Hyde Pk, NY 11040

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

Interoperability endpoints

  • Direct secure messaging: michaellevine@imppllc.allscriptsdirect.net

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 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1750388146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-214",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-4228",
            "fax_number": "516-355-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-214",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-4228",
            "fax_number": "516-355-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "195668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02000273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.