Robert I Leventhal, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

029930 Issued in CT

Practice address

1312 W Main St
Ste 101
Waterbury, CT 06708

Phone

(203) 756-6422

Fax

(203) 756-2448

NPI assigned

Feb 9, 2006

Last updated

Apr 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rleventhal@direct.wtbyhosp.org

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.

• Naugatuck Valley Endoscopy Center, LLC

  dba Waterbury Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Waterbury, CT
  • NPI 1043283906
  Medicare reassignment NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1275506214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WATERBURY RD",
            "address_2": "STE 104",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121246",
            "telephone_number": "203-756-6422",
            "fax_number": "203-756-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W MAIN ST",
            "address_2": "STE 101",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-756-6422",
            "fax_number": "203-756-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTHAL",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "029930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001299305",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucille Lester, MSW
• Let Go Wellness Professional Limited Liability Company
• Matthew Letko, PA-C
• Andrew Joseph Levada, MD
• Christopher C. Leveille, PSY. D.
• Esther Lever, M.A., CCC-SLP
• Eileen Pond Levine, APRN
• Keyndra Lewis, LMFT
• Michael Lewis, PHARMD
• I-Hsun Liang, M.D.

• Gastroenterology Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.