Individual provider Active NPI

Levi Myers, DO

  • Family Medicine Physician
  • New Haven, IN
National Provider Identifier
1821729005
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02007381A Issued in IN
Practice address
1302 Minnich Rd
New Haven, IN 46774-2052
Phone
(260) 458-3200
Fax
(260) 458-3204
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 02007381A IN Primary

Addresses

Primary practice location

1302 Minnich Rd
New Haven, IN 46774-2052

Mailing address

1302 Minnich Rd
New Haven, IN 46774-2052
Phone (260) 458-3200

Other identifiers 1

IdentifierTypeStateIssuer
300063796MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address levi.myers@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250916003257 IN Practitioner - Family Practice 8224417142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rocky Vista University College of Osteopathic Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

1302 Minnich Rd
New Haven, IN 46774-2052
Phone (260) 469-6201

Hospital & facility affiliations

  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Lutheran Medical Group LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

1302 Minnich Rd
New Haven, IN 46774
Phone (260) 458-3821

Interoperability endpoints

  • Direct secure messaging: levi.myers.1@17223.direct.athenahealth.com

Organizations & group practices 2

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1821729005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MINNICH RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467742052",
            "telephone_number": "260-458-3200",
            "fax_number": "260-458-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MINNICH RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467742052",
            "telephone_number": "260-458-3200",
            "fax_number": "260-458-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LEVI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02007381A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300063796",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "levi.myers@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DM",
            "address_1": "1302 Minnich Rd",
            "city": "New Haven",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467742052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

Verify at the official NPI Registry.