Individual provider Active NPI

Olga A Levkina, PA

  • Medical Physician Assistant
  • Glastonbury, CT
National Provider Identifier
1285000117
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003920 Issued in CT
Practice address
2928 Main St Ste 101
Glastonbury, CT 06033
Phone
(606) 578-2898
Fax
(860) 657-8291
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 003920 CT Primary

Addresses

Primary practice location

2928 Main St Ste 101
Glastonbury, CT 06033

Mailing address

2928 Main St Ste 101
Glastonbury, CT 06033-1007
Phone (860) 657-8289

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
I20170829000956 CT Practitioner - Physician Assistant 9638489966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

1040 Barnum Ave
Stratford, CT 06614-4968
Phone (860) 650-3848

1226 S Broad St
Wallingford, CT 06492-1715
Phone (860) 650-3848

2165 Dixwell Ave
Hamden, CT 06514-2116
Phone (860) 650-3848

220 Route 12
Groton, CT 06340-3414
Phone (860) 650-3848

236 Boston Post Rd
Orange, CT 06477-3236
Phone (860) 650-3848

266 S Main St
Newtown, CT 06470-6706
Phone (860) 650-3848

31 Old Route 7
Brookfield, CT 06804-1711
Phone (860) 650-3848

340 Grasmere Ave
Fairfield, CT 06824-6155
Phone (860) 650-3848

346 Main Ave
Norwalk, CT 06851-1592
Phone (860) 650-3848

576 Farmington Ave
Bristol, CT 06010-3933
Phone (860) 650-3848

78 Pershing Dr
Derby, CT 06418-1433
Phone (860) 650-3848

900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848

920 Wolcott St
Suite 19
Waterbury, CT 06705-1300
Phone (860) 650-3848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003920CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Connecticut, P.C. CurrentSince Mar 1, 2022 Accepting new patients
Wheeler Peak Emergency Physicians LLC Past Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

68 Division St
Derby, CT 06418
Phone (203) 732-6802

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1285000117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 MAIN ST STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331007",
            "telephone_number": "860-657-8289",
            "fax_number": "860-657-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 MAIN ST STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "606-578-2898",
            "fax_number": "860-657-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVKINA",
        "first_name": "OLGA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "003920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.