Individual provider Active NPI

Herriet Villaneal Tupas Levitan, MD

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1821180779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50502 Issued in FL
Practice address
1925 Mizell Avenue
Suite 301
Winter Park, FL 32792
Phone
(407) 645-4441
Fax
(407) 645-3242
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50502 FL Primary

Addresses

Primary practice location

1925 Mizell Avenue
Suite 301
Winter Park, FL 32792

Mailing address

PO Box 88
Winter Park, FL 32790
Phone (407) 645-4441

Other identifiers 1

IdentifierTypeStateIssuer
047659500MedicaidFL

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
I20110119000657 FL Practitioner - Internal Medicine 6507045838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2100 Aloma Ave
Suite 202
Winter Park, FL 32792-3301
Phone (407) 645-4441

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50502FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herriet V Tupas Levitan MD PA Internal Medicine CurrentSince Jun 14, 2010 Accepting new patients

Locations

1925 Mizell Ave
Ste 301
Winter Park, FL 32792
Phone (407) 645-4441

2100 Aloma Ave
Ste 202
Winter Park, FL 32792
Phone (407) 214-3051

Organizations & group practices 1

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 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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821180779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32790",
            "telephone_number": "407-645-4441",
            "fax_number": "407-645-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MIZELL AVENUE",
            "address_2": "SUITE 301",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-645-4441",
            "fax_number": "407-645-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPAS LEVITAN",
        "first_name": "HERRIET",
        "middle_name": "VILLANEAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "50502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047659500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.