NPIMap

Individual provider Active NPI

Larry R. Levine, D.O.

  • General Practice Physician
  • Dunedin, FL
National Provider Identifier
1811991540
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS6010 Issued in FL
Practice address
703 Virginia St
V J Dilella, DO LLC
Dunedin, FL 34698-6615
Phone
(727) 734-4000
Fax
(727) 738-5037
NPI assigned
Jun 10, 2005
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0006010 FL
General Practice Physician 208D00000X OS6010 FL Primary

Addresses

Primary practice location

703 Virginia St
V J Dilella, DO LLC
Dunedin, FL 34698-6615

Mailing address

703 Virginia St
V J Dilella DO, LLC
Dunedin, FL 34698-6615
Phone (727) 734-4000

Other identifiers 4

IdentifierTypeStateIssuer
E32308OtherFLMEDICARE UPIN
21762OtherFLBCBS
82873KOtherFLMEDICARE
044135000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000418 FL Practitioner - General Practice 7315974474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V.J. Dilella, D.O., L.L.C.Group PAC ID 1951208057, 11 clinicians

Practice addresses (Care Compare)

703 Virginia St
Dunedin, FL 34698-6615
Phone (727) 734-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0006010FLMDFamily Medicine Physician
OS6010FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V.J. Dilella, D.O., L.L.C. Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
Total Vitality Medical Group, LLC Family Medicine Past Accepting new patients
Suncoast Total Healthcare LLC Past Accepting new patients

Locations

703 Virginia St
Dunedin, FL 34698
Phone (727) 734-4000

703 Virginia St
#V
Dunedin, FL 34698
Phone (727) 734-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1811991540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "address_2": "V J DILELLA DO, LLC",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-738-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "address_2": "V J DILELLA, DO LLC",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-738-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LARRY",
        "middle_name": "R.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006010",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS6010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "E32308",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21762",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "82873K",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044135000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.