NPIMap

Individual provider Active NPI

Harvey Joseph Levin, MD

  • Surgery Physician
  • Dyer, IN
National Provider Identifier
1972595361
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01022405 Issued in IN
Practice address
24 Joliet St
Ste101
Dyer, IN 46311-1705
Phone
(219) 864-2059
Fax
(219) 864-2644
NPI assigned
Aug 22, 2005
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01022405 IN Primary

Addresses

Primary practice location

24 Joliet St
Ste101
Dyer, IN 46311-1705

Mailing address

PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107

Other identifiers 2

IdentifierTypeStateIssuer
100157400MedicaidIN
0090000854OtherILBCBS GROUP NUMBER

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

LicenseStateTypeSpecialty
01022405INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Inc Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Surgery Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Inc Past Accepting new patients
St Margaret Mercy Healthcare Centers, Inc. Past Accepting new patients
St Margaret Mercy Healthcare Centers Past Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1972595361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110800",
            "telephone_number": "219-864-2107",
            "fax_number": "219-864-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "address_2": "STE101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-864-2059",
            "fax_number": "219-864-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "HARVEY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01022405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100157400",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0090000854",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.