Individual provider Active NPI

Jason Edward Levine, D.P.M

  • Podiatrist
  • Coral Gables, FL
National Provider Identifier
1790195287
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3890 Issued in FL
Practice address
5555 Ponce de Leon Blvd FL 3
Coral Gables, FL 33146-2513
Phone
(305) 689-3636
Fax
(305) 243-6575
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3890 FL Primary

Addresses

Primary practice location

5555 Ponce de Leon Blvd FL 3
Coral Gables, FL 33146-2513

Mailing address

5555 Ponce de Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-3636

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721000889 FL Practitioner - Podiatry 1153691290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FL
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR
Umhc Uhealth Tower
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR Gi Ctr
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-4598

1400 NW 12TH Ave 5TH FLR Sicu
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 355-5241

1400 NW 12TH Ave E
Miami, FL 33136-1003

1400 NW 12TH Ave E BLDG 4TH FLR
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-5437

1400 NW 12TH Ave East
5 Reproductive Endocrinology and Fertility Ce
Miami, FL 33136-1003
Phone (305) 243-3371

1400 NW 12TH Ave ENT-7
University of Miami Hospital
Miami, FL 33136-1003
Phone (305) 355-1684

1400 NW 12TH Ave Hematology Consult
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-2023

1400 NW 12TH Ave ICU
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-0783

1400 NW 12TH Ave Mob
Ste3 Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-2020

1400 NW 12TH Ave RM
2064 University of Miami Hospital
Miami, FL 33136-1003
Phone (954) 210-1095

1450 NW 10TH Ave
Miami, FL 33136-1011

1450 NW 10TH Ave 1St FL
Diabetes Research Institute
Miami, FL 33136-1011

1450 NW 10TH Ave 1St FLR
Diabetes Research Institute
Miami, FL 33136-1011
Phone (305) 243-6946

1600 S Andrews Ave 2ND FL
Broward General Medical Center
Fort Lauderdale, FL 33316-2510
Phone (786) 606-9047

1600 S Andrews Ave W Wing
Broward General Medical Center
Fort Lauderdale, FL 33316-2510
Phone (305) 243-7550

1601 NW 12TH Ave
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005

1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635

1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251

1611 NW 12 Ave
Miami, FL 33136-1005

1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions11
Removal of nail tissue91
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3890FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Dvamc Miami Past Accepting new patients

Locations

5555 Ponce de Leon Blvd
Fl 3
Coral Gables, FL 33146
Phone (305) 270-3429

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

1201 NW 16th St
#112
Miami, FL 33125
Phone (305) 575-3244

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

7000 W 12th Ave
Ste 4
Miami Gardens, FL 33014
Phone (305) 243-7070

Interoperability endpoints

  • Direct secure messaging: jlevine48719@direct.med.miami.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1790195287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462513",
            "telephone_number": "305-689-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462513",
            "telephone_number": "305-689-3636",
            "fax_number": "305-243-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.