Adam G Levin

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PTL1315 Issued in CA

Practice address

1090 N Shoop Ave
Wauseon, OH 43567-1821

Phone

(419) 330-5200

NPI assigned

Mar 27, 2019

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Dermatology

Education

Midwestern University, Chicago College of Osteopathic Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of Illinois, LTDGroup PAC ID 7517288236, 10 clinicians

Ab Dermatology LLCGroup PAC ID 4789906322, 10 clinicians

Suleman J. Bangash D.O.S.C.Group PAC ID 8729165006, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aglevin@directaddress.net
• Direct secure messaging: alevin@directaddress.net
• FHIR API: https://api.platform.athenahealth.com/24526/brand/1/csg/1/fhir/r4

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.

• Ab Dermatology LLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1285043646
  Medicare reassignment Care Compare group NPD
• Dermatology Specialists of Illinois, LTD

  • Dermatology Physician
  • Algonquin, IL
  • NPI 1144610080
  Medicare reassignment Care Compare group NPD
• Suleman J. Bangash D.O.S.C.

  • MOHS-Micrographic Surgery Physician
  • Elgin, IL
  • NPI 1841469830
  Medicare reassignment Care Compare group NPD
• West Suburban Dermatology & Cosmetic Surgery

  dba Clear Skin Dermatology

  • Dermatology Physician
  • St Charles, IL
  • NPI 1477617207
  Medicare reassignment NPD
• Affiliates in Diseases & Surgery of the Skin, S.C.

  • Medical Specialty Clinic/Center
  • Oak Park, IL
  • NPI 1558579243
  NPD
• Algonquin Family Chiropractic LTD.

  • Chiropractor
  • Algonquin, IL
  • NPI 1336696889
  NPD
• Dermatology Physicians & Surgeons, LTD

  dba Van Dam Dermatology

  • Dermatology Physician
  • Barrington, IL
  • NPI 1932271210
  NPD
• Des Plaines Dermatology, LTD.

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1902127194
  NPD (past)
• Elk Grove Dermatology, S.C.

  • Dermatology Physician
  • Elk Grove Village, IL
  • NPI 1386769271
  NPD (past)
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  NPD (past)
• Mohs Surgery &Dermatology

  • Specialist
  • Elgin, IL
  • NPI 1356721591
  NPD (past)

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

• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1952862468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-479-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671821",
            "telephone_number": "419-330-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "481449737",
            "country_code": "US",
            "telephone_number": "419-479-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Country Club Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218209",
            "country_code": "US",
            "telephone_number": "517-366-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "OH",
            "postal_code": "434699723",
            "country_code": "US",
            "telephone_number": "419-724-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ADAM",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.016538",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101027433",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PTL1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Kouba, MD
• Christine Mary Kuhlman, C.N.P.
• Danielle Lambert
• Charles M Lash, MD
• Julie Ann Leatherman, LISW
• Lima Umadaop
• Lima-Umadaop LLC
• David R Lindau, R.PH.
• Robert J Lockman, DDS
• Robert Lomas I

• Dermatology Physician in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.