Individual provider Active NPI

Svetlana Kovtunova, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1033226899
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126454 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11357AOtherNYMEDICARE TYPE UNSPECIFIED
02810355MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070220000032 NY Practitioner - Family Practice 9931201191 Reassigns benefits to 3 organizations
I20160520000757 FL Practitioner - Family Practice 9931201191 Reassigns benefits to 4 organizations

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
Advanced Care Hospitalists PLGroup PAC ID 5092753632, 66 clinicians

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

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
MCR Health, Inc. Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Advanced Care Hospitalists PL CurrentSince Sep 1, 2024 Accepting new patients
St. Peter's Hospital of the City of Albany Family Medicine CurrentSince Sep 11, 2016 Accepting new patients
St. Peter's Hospital of the City of Albany Family Medicine Current Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Jun 25, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Aug 1, 2024 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Sep 11, 2016 Accepting new patients
Professional Health Care of Pinellas LLC Family Medicine CurrentSince Jun 25, 2019 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
  • FHIR API: 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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.