Individual provider Active NPI

Andrew Joseph Levada, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Waterbury, CT
National Provider Identifier
1215931829
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
24838 Issued in CT
Practice address
1201 W Main St
Waterbury, CT 06708-3105
Phone
(203) 597-9100
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 24838 CT Primary

Addresses

Primary practice location

1201 W Main St
Waterbury, CT 06708-3105

Mailing address

1201 W Main St
Waterbury, CT 06708-3105
Phone (203) 597-9100

Other identifiers 1

IdentifierTypeStateIssuer
180000349OtherCTMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000696 CT Practitioner - Ophthalmology 6901856426 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24838CTMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Group Pediatric Ophthalmology and Strabismus Specialist CurrentSince Oct 24, 1988 Accepting new patients
The Eye Care Group, P.C. Pediatric Ophthalmology and Strabismus Specialist CurrentSince Oct 24, 1988 Accepting new patients

Locations

22 Old Waterbury Rd
Ste 202
Southbury, CT 06488
Phone (203) 262-1600

1201 W Main St
Ste 100
Waterbury, CT 06708
Phone (203) 573-4849

Interoperability endpoints

  • Direct secure messaging: andrew.levada.p1@direct.theeyecaregroup.nextgenshare.com
  • Direct secure messaging: alevada@direct.wtbyhosp.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1215931829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVADA",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CT",
            "license": "24838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "180000349",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.