Active NPI
Jared Jareaux Levingston, MD
- General Practice Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 295172
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
Framingham, MA 01701
Phone (203) 598-6045
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 77.88
- Improvement activities
- 40
- Cost
- 78.79
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 77.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125074023 | IL | MD | Anesthesiology Physician |
| 295172 | MA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Specialists of Ma, LLC | General Practice | Current | Accepting new patients |
| Wound Surgeons LLC | General Practice | Current | 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.
-
- General Practice Physician
- Framingham, MA
- NPI 1235918764
-
dba Wound Care Specialists, LLC
- General Practice Physician
- Farmington, CT
- NPI 1982916151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.