Individual provider Active NPI

Andriy Markevych, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1003156027
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015438-1 Issued in NY
Practice address
2926 W 25TH St Apt 1213D
Brooklyn, NY 11224-2235
Phone
(646) 492-0202
NPI assigned
Feb 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015438-1 NY Primary

Addresses

Primary practice location

2926 W 25TH St Apt 1213D
Brooklyn, NY 11224-2235

Mailing address

2926 W 25TH St Apt 1213D
Brooklyn, NY 11224-2235
Phone (646) 492-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503001535 NY Practitioner - Physician Assistant 6800150558

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4209 Ave U
Unit a
Brooklyn, NY 11234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015438-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Radiology PC CurrentSince Dec 24, 2025 Accepting new patients

Locations

869 E Tremont Ave
Bronx, NY 10460
Phone (718) 299-3456

4209 Avenue U
Brooklyn, NY 11234
Phone (347) 934-9068

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1003156027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 W 25TH ST APT 1213D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242235",
            "telephone_number": "646-492-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 W 25TH ST APT 1213D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242235",
            "telephone_number": "646-492-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEVYCH",
        "first_name": "ANDRIY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015438-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.