Individual provider Active NPI

Cleavon J Covington, M.D.

  • Allergy & Immunology Physician
  • League City, TX
National Provider Identifier
1881037828
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
S0274 Issued in TX
Practice address
2785 Gulf Fwy S Ste 2.200
League City, TX 77573
Phone
(409) 772-3695
NPI assigned
Apr 9, 2013
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 NU
Allergy & Immunology Physician 207K00000X S0274 TX Primary

Addresses

Primary practice location

2785 Gulf Fwy S Ste 2.200
League City, TX 77573

Mailing address

301 University Blvd
Dept of Pediatric Allergy and Immunology
Galveston, TX 77555-0550
Phone (409) 772-1755

Other practice location 1

301 University Blvd Dept Of
Galveston, TX 77555
Phone (409) 772-1755

Other practice location 2

2785 Gulf Fwy S Ste 2.200
League City, TX 77573
Phone (409) 772-3695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190327001429 TX Practitioner - Allergy/Immunology 6305168618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S0274TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Multi-Specialty CurrentSince Feb 18, 2019 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2785 Gulf Fwy S
Ste 2200
League City, TX 77573
Phone (409) 772-3695

Interoperability endpoints

  • Direct secure messaging: ccovingtonmd19267@direct.utmb.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1881037828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "DEPT OF PEDIATRIC ALLERGY AND IMMUNOLOGY",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550550",
            "telephone_number": "409-772-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 GULF FWY S STE 2.200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "409-772-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd Dept Of",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77555",
            "country_code": "US",
            "telephone_number": "409-772-1755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2785 Gulf Fwy S Ste 2.200",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "77573",
            "country_code": "US",
            "telephone_number": "409-772-3695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "CLEAVON",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "S0274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.