Individual provider Active NPI

Carlos Gustavo Levy, D.O.

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1780789891
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005566 Issued in FL
Practice address
2801 Fruitville Rd Ste 140
Sarasota, FL 34237-5301
Phone
(727) 203-4613
NPI assigned
Sep 13, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005566 FL Primary

Addresses

Primary practice location

2801 Fruitville Rd Ste 140
Sarasota, FL 34237-5301

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1056

Other identifiers 1

IdentifierTypeStateIssuer
271136200MedicaidFL

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
I20031218000291 FL Practitioner - General PracticePractitioner - Family Practice 9537066352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliable MD, LLCGroup PAC ID 3072936533, 4 clinicians

Practice addresses (Care Compare)

2801 Fruitville Rd
Suite 140
Sarasota, FL 34237-5301
Phone (727) 203-4613

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0005566FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable MD LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Dr Harry Pepe and Associates Inc Past Accepting new patients
Deborah Goldsmith DC PA PastSince Sep 1, 2023 Accepting new patients

Locations

2801 Fruitville Rd
Ste 140
Sarasota, FL 34237
Phone (727) 203-4613

35 United Dr
Ste 102
West Bridgewater, MA 02379

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1780789891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRUITVILLE RD STE 140",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375301",
            "telephone_number": "727-203-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "CARLOS",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271136200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.