Individual provider Active NPI

Levi Pearson III, M.D.

  • Anesthesiology Physician
  • Ellicott City, MD
National Provider Identifier
1780668152
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0044512 Issued in MD
Practice address
9501 Old Annapolis Rd
Ste 305
Ellicott City, MD 21042-6337
Phone
(443) 546-4969
Fax
(443) 546-4888
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0044512 MD
Anesthesiology Physician 207L00000X D0044512 MD Primary

Addresses

Primary practice location

9501 Old Annapolis Rd
Ste 305
Ellicott City, MD 21042-6337

Mailing address

9501 Old Annapolis Rd
Ste 305
Ellicott City, MD 21042-6337
Phone (443) 546-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20040121000542 MD Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9830091917 Reassigns benefits to 4 organizations
I20041228000037 DC Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9830091917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
George Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 1620
Chevy Chase, MD 20815-4322
Phone (301) 718-9800

7625 Maple Lawn Blvd
Suite 110
Fulton, MD 20759-2565
Phone (301) 490-5025

9501 Old Annapolis Rd
Suite 305
Ellicott City, MD 21042-6337

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
83.93
Improvement activities
40
Cost
72.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Pain Management - Maryland, LLC CurrentSince Jan 4, 2021 Accepting new patients
Ritu Bhambhani LLC CurrentSince Nov 18, 2019 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince May 13, 2019 Accepting new patients
One Skincare, LLC Past Accepting new patients
Comprehensive Pain and Anesthesia Services, PA Anesthesiology Past Accepting new patients
Advanced Spine and Pain Centers, PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients

Locations

100 Walter Ward Blvd
Ste 3
Abingdon, MD 21009
Phone (410) 569-3333

100 Walter Ward Blvd
Ste 300
Abingdon, MD 21009
Phone (410) 569-3333

2700 Southaven Rd
Annapolis, MD 21401
Phone (410) 349-5100

3421 Benson Ave
Ste G200
Baltimore, MD 21227

410 E Macphail Rd
Bel Air, MD 21014
Phone (410) 838-7810

5530 Wisconsin Ave
Ste 1620
Chevy Chase, MD 20815
Phone (301) 717-9800

157 Baltimore St
Ste 100
Cumberland, MD 21502
Phone (240) 727-3995

9501 Old Annapolis Rd
Ste 305
Ellicott City, MD 21042
Phone (443) 380-0060

7420 Marlboro Pike
Forestville, MD 20747
Phone (301) 424-9560

7625 Maple Lawn Blvd
Ste 110
Fulton, MD 20759
Phone (301) 490-5025

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Organizations & group practices 9

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1780668152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD",
            "address_2": "STE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-546-4969",
            "fax_number": "443-546-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD",
            "address_2": "STE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-546-4969",
            "fax_number": "443-546-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "LEVI",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0044512",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0044512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.