Individual
NICHOLAS RICHARD LEVERGOOD
Active
Individual
NICHOLAS RICHARD LEVERGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01093315A
IN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
2026010211
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104332803
ANTHEM PTAN
IN
05
—
300051678
—
IN
Enumeration date
04/02/2020
Last updated
08/12/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up