Individual provider Active NPI

Jared Jareaux Levingston, MD

  • General Practice Physician
  • Farmington, CT
National Provider Identifier
1265099139
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
295172 Issued in MA
Practice address
76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone
(203) 879-0834
NPI assigned
May 24, 2019
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125074023 IL
General Practice Physician 208D00000X 295172 MA Primary

Addresses

Primary practice location

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571

Mailing address

17714 Fairhaven Gateway Dr
Cypress, TX 77433-3570

Other practice location 1

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221115000681 MA Practitioner - General Practice 7012243348 Reassigns benefits to 1 organization
I20240422001897 CT Practitioner - General Practice 7012243348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Specialists of Ma, LLCGroup PAC ID 1951758283, 4 clinicians

Practice addresses (Care Compare)

Framingham, MA 01701
Phone (203) 598-6045

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
77.88
Improvement activities
40
Cost
78.79

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125074023ILMDAnesthesiology Physician
295172MAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Specialists of Ma, LLC General Practice CurrentSince Sep 17, 2023 Accepting new patients
Wound Surgeons LLC General Practice CurrentSince Mar 1, 2024 Accepting new patients

Locations

76 Batterson Park Rd
Ste 106
Farmington, CT 06032
Phone (203) 598-6045

4 Research Pkwy
Wallingford, CT 06492
Phone (203) 598-6045

61 Cooper St
Agawam, MA 01001
Phone (413) 294-6800

945 Concord St
Framingham, MA 01701
Phone (203) 598-6045

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1265099139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17714 FAIRHAVEN GATEWAY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "203-879-0834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINGSTON",
        "first_name": "JARED",
        "middle_name": "JAREAUX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125074023",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "295172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.