NPIMap

Individual provider Active NPI

Thomas Russell Jevon, M.D.

  • Family Medicine Physician
  • Reading, MA
National Provider Identifier
1104898022
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58057 Issued in MA
Practice address
30 Newcrossing Rd Ste 301
Reading, MA 01867-3254
Phone
(781) 942-0380
Fax
(781) 942-0371
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58057 MA Primary

Addresses

Primary practice location

30 Newcrossing Rd Ste 301
Reading, MA 01867-3254

Mailing address

30 Newcrossing Rd Ste 301
Reading, MA 01867-3254
Phone (781) 942-0380

Other identifiers 1

IdentifierTypeStateIssuer
110044837/AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000952 MA Practitioner - Family Practice 9234186719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

30 New Crossing Rd
Reading, MA 01867-3271

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

Hospital & facility affiliations

  • Alternative Home Health Care, LLC Home health agency, Methuen, MA, CCN 227538
  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Elara Caring Home health agency, Newburyport, MA, CCN 227503
  • All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58057MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Family Medicine CurrentSince Jul 17, 2023 Accepting new patients

Locations

30 New Crossing Rd
Ste 301
Reading, MA 01867
Phone (781) 942-0380

30 New Crossing Rd
Ste 300
Reading, MA 01867
Phone (781) 213-5150

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Interoperability endpoints

  • Direct secure messaging: tjevon28708@tuftsmedicine.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1104898022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-942-0380",
            "fax_number": "781-942-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD STE 301",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673254",
            "telephone_number": "781-942-0380",
            "fax_number": "781-942-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEVON",
        "first_name": "THOMAS",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "58057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110044837/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.