Active NPI
Paul D. Levinson, MD
- Endocrinology, Diabetes & Metabolism Physician
- Riverside, RI
National Provider Identifier
1649254566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD06526
- Practice address
- 375 Wampanoag TRL Ste 202B
Riverside, RI 02915-2234 - Phone
- (401) 649-4090
- Fax
- (401) 649-4091
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD06526 | RI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD06526 | RI | Primary |
Addresses
Primary practice location
375 Wampanoag TRL Ste 202B
Riverside, RI 02915-2234
Mailing address
110 Elm St
Providence, RI 02903-4626
Phone (401) 649-4090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007061092 | Other | RI | MEDICARE PTAN |
| 9006261 | Medicaid | RI | |
| 110087950A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD06526 | RI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
593 Eddy St
Providence, RI 02903
245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741
Interoperability endpoints
- plevinson172186@brownhealth.medalliesdirect.net
- plevinson@wih.cernerdirect.carene.org
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.
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154537520
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1689626764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1649254566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ELM ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034626",
"telephone_number": "401-649-4090",
"fax_number": "401-649-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WAMPANOAG TRL STE 202B",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152234",
"telephone_number": "401-649-4090",
"fax_number": "401-649-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "PAUL",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD06526",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "RI",
"license": "MD06526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "007061092",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9006261",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110087950A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.