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Deactivated NPI 1881760445 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Edmund Levrault , MD

Pediatrics • O Fallon, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Levrault has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 27, 2006
NPI Deactivation Date October 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Levrault, MD was a registered Pediatrics practicing in O Fallon, IL. Throughout an active medical career spanning 14 years, Dr. Levrault provided care at the practice location at 1337 PARK PLAZA DR until profile deactivation on 2020-10-06.

Practice Location & Contact Primary Location

Practice Address

1337 Park Plaza Dr
Suite 1

O Fallon, IL 622691777

Telephone 6186247391
Fax 6186247392
Associated Practice Facility / Clinic
🏢 Gabriels Pride Pediatrics Facility NPI 1124285028

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
5 Specialists

Practicing in O Fallon, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036095488

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 06, 2020

Record deactivated on October 06, 2020

NPI Profile Active April 26, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 26, 2012

Registered at 1337 PARK PLAZA DR, SUITE 1, O FALLON, IL 622691777 (Tel: 6186247391)

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Updated Business Mailing Address April 26, 2012

Registered at 1337 PARK PLAZA DR, SUITE 1, O FALLON, IL 62269 (Tel: 6186247391)

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Provider Name / Credentials Updated April 26, 2012

Recorded as THOMAS LEVRAULT, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2012

Pediatrics (License #036095488 in IL)

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Initial NPI Registration & Enumeration November 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881760445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2006
Last Update: April 26, 2012
Deactivation Date: October 06, 2020

Mailing Address

1337 Park Plaza Dr, Suite 1

O Fallon, IL 62269

Phone: 6186247391

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.