Active NPI
Svetlana Kovtunova, MD
- Family Medicine Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME126454
- Practice address
- 206 2ND St E
Bradenton, FL 34208-1042 - Phone
- (941) 746-5111
- Fax
- (941) 845-4963
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 241331 | NY | |
| Family Medicine Physician | 207Q00000X | ME126454 | FL | Primary |
Addresses
Primary practice location
206 2ND St E
Bradenton, FL 34208-1042
Mailing address
700 8TH Ave W
Ste. 101
Palmetto, FL 34221
Phone (941) 776-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11357A | Other | NY | MEDICARE TYPE UNSPECIFIED |
| 02810355 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234
4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Family Medicine | Current | Accepting new patients |
| MCR Health, Inc. | Family Medicine | Current | Accepting new patients |
| Advanced Care Hospitalists PL | Current | Accepting new patients | |
| St. Peter's Hospital of the City of Albany | Family Medicine | Current | Accepting new patients |
| St. Peter's Hospital of the City of Albany | Family Medicine | Current | Accepting new patients |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Apogee Medical Group, New York, PC | Current | Accepting new patients | |
| St. Peter's Hospital of the City of Albany | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Family Medicine | Current | Accepting new patients |
| Niagara Falls Memorial Medical Center | Past | Accepting new patients | |
| Keystone Hospitalist Services of New York P.C. | Past | Accepting new patients | |
| Chemung Medical Services PC | Family Medicine | Past | Accepting new patients |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Exigence Hospitalist Medical Services of Hornell, PLLC | Past | Accepting new patients |
Locations
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
515 Main St
Olean, NY 14760
Phone (716) 373-2600
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 16
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.
-
- Hospitalist Physician
- Lakeland, FL
- NPI 1457389587
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
Family Medicine
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
Family Medicine
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Family Medicine
-
dba St. Peter's Hospital
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Family Medicine
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Family Medicine
-
- Obstetrics & Gynecology Physician
- Slingerlands, NY
- NPI 1861563116
-
dba Arnot Medical Services
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba South Florida Baptist Hospital
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033226899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W",
"address_2": "STE. 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "34221",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 2ND ST E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081042",
"telephone_number": "941-746-5111",
"fax_number": "941-845-4963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVTUNOVA",
"first_name": "SVETLANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "241331",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME126454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TYPE UNSPECIFIED",
"identifier": "11357A",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02810355",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.