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Deactivated NPI 1982617965 Deactivated / Inactive NPI Male Practitioner

Dr. Michael S Levine , MD

Pediatrics • South Windsor, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Levine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2006
NPI Deactivation Date June 01, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Levine, MD was a registered Pediatrics practicing in South Windsor, CT. Throughout an active medical career spanning 18 years, Dr. Levine provided care at the practice location at 469 BUCKLAND RD until profile deactivation on 2024-06-01.

Practice Location & Contact Primary Location

Practice Address

469 Buckland Rd
Suite 102

South Windsor, CT 060743737

Telephone 8606443419
Fax 8606443410
Associated Practice Facility / Clinic
🏢 Lawrence J Andrus Dds Facility NPI 1477726552

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Windsor, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
15 Specialists

Practicing in South Windsor, CT (1087 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 022412

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1871506816

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 01, 2024

Record deactivated on June 01, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 469 BUCKLAND RD, SUITE 102, SOUTH WINDSOR, CT 060743737 (Tel: 8606443419)

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Updated Business Mailing Address July 08, 2007

Registered at 4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 060322573 (Tel: 8602845200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL LEVINE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #022412 in CT)

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Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982617965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: July 08, 2007
Deactivation Date: June 01, 2024

Mailing Address

4 Farm Springs Rd, Prohealth Physicians

Farmington, CT 060322573

Phone: 8602845200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.