Individual provider Active NPI

Jason M Levy, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1861435414
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3078 Issued in FL
Practice address
2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone
(727) 797-5008
Fax
(727) 791-1330
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3078 FL Primary

Addresses

Primary practice location

2521 Countryside Blvd
Clearwater, FL 33763-1605

Mailing address

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Other identifiers 2

IdentifierTypeStateIssuer
P00328267OtherFLRAILROAD MEDICARE
269618500MedicaidFL

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
I20040623000497 FL Practitioner - PodiatryPractitioner - Orthopedic Surgery 2163407149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Orthopedic Surgery
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce J Levine DPM PAGroup PAC ID 8224066923, 13 clinicians

Practice addresses (Care Compare)

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue108
Removal of skin lesions22
Removal of nail tissue483
Removal or shaving of skin growth182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Levine DPM PA Foot & Ankle Surgery CurrentSince Jul 1, 2006 Accepting new patients
Orthopedic Center of Palm Beach County PastSince Apr 30, 2003 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

8839 Bryan Dairy Rd
Ste 219
Largo, FL 33777
Phone (727) 393-2383

Interoperability endpoints

  • Direct secure messaging: jlevy@usfas.emadirect.md

Organizations & group practices 4

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 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1861435414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008",
            "fax_number": "727-791-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008",
            "fax_number": "727-791-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00328267",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269618500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.