Individual provider Active NPI

Peter E Levesque, MD

  • Urology Physician
  • Taunton, MA
National Provider Identifier
1235163783
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
75540 Issued in MA
Practice address
72 Washington St
Suite 2220
Taunton, MA 02780-2491
Phone
(508) 823-5104
Fax
(508) 880-7870
NPI assigned
Jul 10, 2006
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 75540 MA Primary

Addresses

Primary practice location

72 Washington St
Suite 2220
Taunton, MA 02780-2491

Mailing address

72 Washington St
Suite 2220
Taunton, MA 02780-2491
Phone (508) 823-5104

Other identifiers 1

IdentifierTypeStateIssuer
3152359MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051115000529 MA Practitioner - Urology 4789633165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albany Medical College of Union University, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75540MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Urology CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 27, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 27, 2023 Accepting new patients
Taunton Urologic Associates P.C. Urology CurrentSince Jul 1, 1996 Accepting new patients
Boston Urology Institute, LLC Urology Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

72 Washington St
Ste 2220
Taunton, MA 02780
Phone (508) 823-5104

72 Washington St
Ste 2700
Taunton, MA 02780
Phone (508) 824-4535

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4081/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1235163783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 2220",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-823-5104",
            "fax_number": "508-880-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 2220",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-823-5104",
            "fax_number": "508-880-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "75540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152359",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.