Individual provider Active NPI

Michael I Levinson, D.O.

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1811256662
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
053474 Issued in CT
Practice address
85 Seymour St Ste 200
Hartford, CT 06106-5509
Phone
(860) 246-6589
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 053474 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 200
Hartford, CT 06106-5509

Mailing address

111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 785-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, OH2 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
I20170712001564 CT Practitioner - Diagnostic Radiology 2769751445 Reassigns benefits to 4 organizations
I20260105000483 OH Practitioner - Diagnostic Radiology 2769751445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

210 Treadwell St
Unit 403
Hamden, CT 06517-2356
Phone (937) 297-6306

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
053474CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Yale University Multi-Specialty CurrentSince Jul 1, 2017 Accepting new patients
Kettering Network Radiologists Inc Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
Yale University CurrentSince Jul 1, 2017 Accepting new patients
Tic, LLC Multi-Specialty CurrentSince Jul 1, 2017 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations (25 of 39)

399 Farmington Ave
Lowr 1
Farmington, CT 06032

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

L3402
Columbus, OH 43260
Phone (814) 444-1919

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 395-8666

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Ste C
Franklin, OH 45005

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309

540 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 299-0900

580 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (513) 299-0099

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811256662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ",
            "address_2": "SUITE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083212",
            "telephone_number": "860-289-3375",
            "fax_number": "860-783-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065509",
            "telephone_number": "860-246-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-785-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "053474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.