Active NPI
Elcon Levinson, MD
- Diagnostic Radiology Physician
- Norwich, CT
National Provider Identifier
1861584997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 039506
- Practice address
- 1 Towne Park PLZ
Norwich, CT 06360-2247 - Phone
- (860) 886-1433
- Fax
- (860) 886-4644
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 039506 | CT | Primary |
Addresses
Primary practice location
1 Towne Park PLZ
Norwich, CT 06360-2247
Mailing address
26 Saint Andrews Dr
Avon, CT 06001-4050
Phone (860) 673-0682
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327060 | Other | RI | BCBS |
| 1600097 | Other | RI | UNITED HEALTH |
| EL67101 | Medicaid | RI | |
| 007060083 | Other | RI | MEDICARE PROVIDER NUMBER-RI |
| 001173129 | Medicaid | CT | |
| 04120 | Other | RI | NEIGHBORHOOD |
| 411814 | Other | RI | MEDICARE GROUP |
| 414191 | Other | RI | BCHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1861584997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SAINT ANDREWS DR",
"city": "AVON",
"state": "CT",
"postal_code": "060014050",
"telephone_number": "860-673-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TOWNE PARK PLZ",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602247",
"telephone_number": "860-886-1433",
"fax_number": "860-886-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "ELCON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "039506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "327060",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "1600097",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EL67101",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER-RI",
"identifier": "007060083",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001173129",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "04120",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "411814",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCHIP",
"identifier": "414191",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.