Individual provider Active NPI

Steven B. Levine, M.D.

  • Otolaryngology Physician
  • Trumbull, CT
National Provider Identifier
1225004765
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
027247 Issued in CT
Practice address
160 Hawley LN
Suite 202
Trumbull, CT 06611-5300
Phone
(203) 380-3707
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 027247 CT Primary

Addresses

Primary practice location

160 Hawley LN
Suite 202
Trumbull, CT 06611-5300

Mailing address

54 Main St Ste 10
Lakeville, MA 02347-3622
Phone (203) 830-4700

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
I20100515000010 CT Practitioner - Otolaryngology 0345307393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Rochester School of Medicine and Dentistry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Ear Nose and Throat Sinus and Allergy Specialists PCGroup PAC ID 1052374329, 6 clinicians

Practice addresses (Care Compare)

21 W Main St
1 Exchange Place BLDG 3Rd Floor
Waterbury, CT 06702-2016
Phone (203) 574-3777

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027247CTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C. Otolaryngology CurrentSince Mar 30, 2024 Accepting new patients
Advanced Audiology & Hearing Aid Services Past Accepting new patients

Locations

21 W Main St
Fl 3
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Bldg 3RD
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Fl 1
Waterbury, CT 06702
Phone (203) 574-3777

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1225004765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 10",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023473622",
            "telephone_number": "203-830-4700",
            "fax_number": "203-730-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "SUITE 202",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-380-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "STEVEN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "027247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.