Individual provider Active NPI

Renee D Levy, PA-C

  • Medical Physician Assistant
  • Trumbull, CT
National Provider Identifier
1245021898
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7151 Issued in CT
Practice address
888 White Plains Rd Ste 105
Trumbull, CT 06611-4552
Phone
(203) 268-2882
Fax
(203) 672-0840
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7151 CT Primary

Addresses

Primary practice location

888 White Plains Rd Ste 105
Trumbull, CT 06611-4552

Mailing address

2 Barnes Industrial Rd S
Wallingford, CT 06492-2486
Phone (203) 626-0160

Other practice location 1

330 Bridgeport Ave
Shelton, CT 06484-3861
Phone (203) 538-0020

Other practice location 2

1055 Post Rd Ste 4
Fairfield, CT 06824-6019
Phone (203) 254-1055

Other practice location 3

1800 Post Rd E
Westport, CT 06880-5607
Phone (203) 254-1354

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612002239 CT Practitioner - Physician Assistant 3870004377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1800 Post Rd E
Westport, CT 06880-5607
Phone (203) 254-1354

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

888 White Plains Rd
Trumbull, CT 06611-4552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Jun 9, 2025 Accepting new patients
Connecticut Orthopaedic Specialists, PC Medical CurrentSince Jun 9, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

1055 Post Rd
Ste 4
Fairfield, CT 06824
Phone (203) 254-1055

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

888 White Plains Rd
Ste 105
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Trumbull, CT 06611
Phone (203) 268-2882

1800 Post Rd E
Westport, CT 06880
Phone (203) 254-1354

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1245021898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922486",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD STE 105",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-2882",
            "fax_number": "203-672-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064843861",
            "country_code": "US",
            "telephone_number": "203-538-0020",
            "fax_number": "203-538-0023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Post Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068246019",
            "country_code": "US",
            "telephone_number": "203-254-1055",
            "fax_number": "203-601-8599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Post Rd E",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068805607",
            "country_code": "US",
            "telephone_number": "203-254-1354",
            "fax_number": "203-601-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "RENEE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "7151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.