Active NPI
Bernadette M Levesque, MD
- Neonatal-Perinatal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 80100
- Practice address
- 850 Harrison Ave # Yacc4
Boston, MA 02118-4001 - Phone
- (617) 414-4359
- Fax
- (617) 414-4361
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 80100 | MA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 80100 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave # Yacc4
Boston, MA 02118-4001
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 414-5405
Other practice location 1
115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-8544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110055513A | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|
| 80100 | MA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Pediatrics | Current | Accepting new patients |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Child Health Foundation of Boston, Inc. | Pediatrics | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000
960 Massachusetts Ave
Ste 2
Boston, MA 02118
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
Interoperability endpoints
- blevesque11022@direct.bmc.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Pediatrics Physician
- Boston, MA
- NPI 1619969920
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Pediatrics
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1881603157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE # YACC4",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-4359",
"fax_number": "617-414-4361"
}
],
"practiceLocations": [
{
"address_1": "115 Lincoln St",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017026358",
"country_code": "US",
"telephone_number": "508-383-8544",
"fax_number": "508-334-6083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVESQUE",
"first_name": "BERNADETTE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "80100",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MA",
"license": "80100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110055513A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "115 Lincoln St",
"city": "Framingham",
"state": "MA",
"country_code": "US",
"postal_code": "017026358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.