Organization Active NPI

DRS. Levine & Reigle, Inc.

  • Urology Physician
  • Willoughby, OH
National Provider Identifier
1861505422
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DRS. LEVINE & REIGLE, INC.
Practice address
35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523
Phone
(440) 753-0018
Fax
(440) 753-0035
NPI assigned
Aug 17, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Dr. Fredrick J Levine, MD
Title
President
Phone
(440) 753-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523

Mailing address

35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523
Phone (440) 753-0018

Other identifiers 1

IdentifierTypeStateIssuer
0795699MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000112 OH Part B Supplier - Clinic/Group Practice 7719930197 Receives reassigned benefits from 4 practitioners
Practice locations: Willoughby, OH

National Provider Directory

National Provider Directory
Tax ID family
DRS Levine Reigle Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7580 Auburn Rd
Ste 108
Concord Township, OH 44077
Phone (440) 753-0018

35104 Euclid Ave
Ste 209
Willoughby, OH 44094
Phone (440) 942-1052

35110 Euclid Ave
Ste 2
Willoughby, OH 44094
Phone (440) 753-0018

36001 Euclid Ave
Ste C14
Willoughby, OH 44094
Phone (440) 753-0018

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1861505422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE STE 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "440-753-0018",
            "fax_number": "440-753-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE STE 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "440-753-0018",
            "fax_number": "440-753-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. LEVINE & REIGLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-753-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.