JONATHAN A LEVISS (MD) – Internal Medicine Physician, NPI 1013973627
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,158 INTERNAL MEDICINE in RI
Provider Addresses for JONATHAN A LEVISS (MD)
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: (401) 649-4020
Fax: (401) 649-4021
Type: Location
110 ELM ST
PROVIDENCE, RI 029034626
Phone: (401) 443-4992
Fax: (401) 537-7241
Type: Mailing
375, Allens Avenue, Providence, Providence County, Rhode Island, 02905, United States
PROVIDENCE, RI 029055010
Phone: (401) 444-0400
Fax: (401) 444-0468
Type: Mailing
355, Prairie Avenue, Providence, Providence County, Rhode Island, 02905, United States
PROVIDENCE, RI 029051928
Phone: (401) 444-0570
Fax: (401) 444-0427
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050621001266 | I | Internal Medicine | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 314 | 171 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 109 | 109 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 84 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 41 | $0 |
| 83036 | Hemoglobin a1c level | 38 | 24 | $0 |
Insurance plans in this area (ZIP 02915)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | RI | |
| Geriatric Medicine | RI | |
| N E P H R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| - | RI | |
| Infectious Disease | RI | |
| - | RI | |
| Infectious Disease | RI | |
| Internal Medicine | RI |
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