David Randolph Levitsky, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901000792 Issued in MI

Practice address

1671 W Michigan Ave
Ste C-1
Clinton, MI 49236-8702

Phone

(517) 456-4114

Fax

(517) 456-4114

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clinton Foot & Ankle Clinic PC

  • Podiatrist
  • Clinton, MI
  • NPI 1154426484
  Medicare reassignment
• Gossage Eye Institute, PLC

  • Ophthalmology Physician
  • Hillsdale, MI
  • NPI 1285854000
  NPD (past)
• Great Lakes Plastic Reconstructive & Hand Surgery P C

  dba Great Lakes Plastic and Hand Surgery

  • Plastic Surgery Physician
  • Portage, MI
  • NPI 1336335785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
  • NPI 1972564730
  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  dba ProMedica Transportation Network

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1841395183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369502",
            "telephone_number": "517-456-4114",
            "fax_number": "517-456-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 W MICHIGAN AVE",
            "address_2": "STE C-1",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492368702",
            "telephone_number": "517-456-4114",
            "fax_number": "517-456-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITSKY",
        "first_name": "DAVID",
        "middle_name": "RANDOLPH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000792",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5067480002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kosmyna Chiropractic Life Center PC
• Thomas Steven Kosmyna, DC
• Adam Kosteva, MD
• Caitlin Kriengkrairut
• Richard Kruse
• Jeffrey A. Mendoza, D.O.
• Jamie Mercer
• Susan Mullinix, PT
• Nicholas J Pelachyk DDS PC
• Per Okey, M.D.

• Podiatrist in Clinton, MI
• Providers in Clinton, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.

Verify at the official NPI Registry.