Active NPI
Michael H Levine, MD
- Neurology Physician
- Noblesville, IN
National Provider Identifier
1861490484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01039644A
- Practice address
- 18051 River Ave
Suite 105
Noblesville, IN 46062-7093 - Phone
- (317) 570-7900
- Fax
- (317) 570-2288
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01039644A | IN | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 01039644A | IN |
Addresses
Primary practice location
18051 River Ave
Suite 105
Noblesville, IN 46062-7093
Mailing address
6330 Castleplace Dr
Suite 130
Indianapolis, IN 46250-1902
Phone (317) 570-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100354460 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039644A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Meridian Health Group | Past | Accepting new patients | |
| Indianapolis Operating Company LLC | Past | Accepting new patients |
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Indianapolis, IN
- NPI 1174727879
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Carmel, IN
- NPI 1255409413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1861490484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 CASTLEPLACE DR",
"address_2": "SUITE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501902",
"telephone_number": "317-570-7900",
"fax_number": "317-570-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18051 RIVER AVE",
"address_2": "SUITE 105",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460627093",
"telephone_number": "317-570-7900",
"fax_number": "317-570-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01039644A",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "IN",
"license": "01039644A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100354460",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.