EDI LEVI (M.D.) – Hematology (Pathology) Physician, NPI 1336159649

EDI LEVI (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301079179 (MI). The NPI Number for EDI LEVI (M.D.) is 1336159649

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
EDI LEVI (M.D.)
NPI
1336159649
Phone
(313) 576-1000
Address
4646 JOHN R ST
Enumeration Date
9 August 2006
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488495401
Graduation Year
1986 (40 years ago)
PAC ID
5799261491
Group Practice PAC ID
9739253279
Professional Enrollment ID
I20260113001201
Address ID
MI480754818SO16001RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for EDI LEVI (M.D.)

  • John D. Dingell VA Medical Center, 4646, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States of America

    PALMS 11LAB

    DETROIT, MI 482011916

    Phone: (313) 576-1000

    Fax: (313) 576-1120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260113001201IPathologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739253279View full group profile
NameSpecialtyState
Pathology, Internal MedicineMI
-MI
-MI
P A T H O L O G YGA
P A T H O L O G YPA
P A T H O L O G YOH
P A T H O L O G YMI

Reviews

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Frequently asked questions

Does EDI LEVI (M.D.) have a public NPI I can cite?
Public records show EDI LEVI (M.D.) under NPI 1336159649.
Is EDI LEVI (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists EDI LEVI (M.D.) as active.
Which specialty label fits EDI LEVI (M.D.)?
NPPES ties EDI LEVI (M.D.) to Hematology (Pathology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to EDI LEVI (M.D.)?
The directory associates EDI LEVI (M.D.) with Detroit, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for EDI LEVI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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