Active NPI
Shelly Ann Levulis, D.P.M.
- Podiatrist
- Plymouth, PA
National Provider Identifier
1821295312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC005978
- Practice address
- 75 Washington Ave
Plymouth, PA 18651-1744 - Phone
- (570) 287-1955
- Fax
- (570) 287-1995
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC005978 | PA | Primary |
Addresses
Primary practice location
75 Washington Ave
Plymouth, PA 18651-1744
Mailing address
75 Washington Ave
Plymouth, PA 18651-1744
Phone (570) 287-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
75 Washington Ave
Plymouth, PA 18651-1744
Phone (570) 287-1955
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 11.2 of 100
- Quality
- 22.39
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 34 |
| Removal of skin lesions | 70 |
| Removal of nail tissue | 1514 |
| Removal or shaving of skin growth | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005978 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.E.P.a Foot & Ankle Specialists P.C. | Current | Accepting new patients | |
| Regional Foot and Ankle Specialists, LLC | Podiatrist | Past | Accepting new patients |
| Better Health Wellness, LLC | Past | Accepting new patients |
Locations
3579 Memorial Hwy
Dallas, PA 18612
33 Gateway Shopping Ctr
Edwardsville, PA 18704
Phone (570) 287-1955
75 Washington Ave
Plymouth, PA 18651
Phone (570) 287-1955
Interoperability endpoints
- nepafoot75@nfaasp-pa.direct.office.nextgen.com
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.
-
- Foot & Ankle Surgery Podiatrist
- Plymouth, PA
- NPI 1730505272
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1063926798
-
- Foot & Ankle Surgery Podiatrist
- Turnersville, NJ
- NPI 1083629950
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1821295312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WASHINGTON AVE",
"city": "PLYMOUTH",
"state": "PA",
"postal_code": "186511744",
"telephone_number": "570-287-1955",
"fax_number": "570-287-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 WASHINGTON AVE",
"city": "PLYMOUTH",
"state": "PA",
"postal_code": "186511744",
"telephone_number": "570-287-1955",
"fax_number": "570-287-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVULIS",
"first_name": "SHELLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2022-06-08",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.