Individual provider Active NPI

Boris Melnikau, M.D.

  • Internal Medicine Physician
  • Nyack, NY
National Provider Identifier
1043476062
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249737 Issued in NY
Practice address
160 N Midland Ave
Nyack, NY 10960-1912
Phone
(845) 348-8884
NPI assigned
Jul 29, 2008
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 249737 NY Primary

Addresses

Primary practice location

160 N Midland Ave
Nyack, NY 10960-1912

Mailing address

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-8884

Other names 1

  • Dr. Baris Aliaksandrovich Melnikau Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20090312000370 NY Practitioner - Internal MedicinePractitioner - Hospitalist 1052477262 Reassigns benefits to 5 organizations
I20160315001925 NJ Practitioner - HospitalistPractitioner - Internal Medicine 1052477262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

476 Christian Herald Rd
Valley Cottage, NY 10989-2230
Phone (845) 354-1212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
249737NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Genesis Medical Health PC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Care Connect Medical P.C. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Usman Siddiqui MD Internal Medicine CurrentSince Dec 3, 2023 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Jul 2, 2017 Accepting new patients
Nyack Operating LLC Past Accepting new patients
Montefiore Nyack Hospital Past Accepting new patients
Northern Riverview Health Care Center Inc Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

225 Maple Ave
Monsey, NY 10952
Phone (845) 352-9000

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

311 N Midland Ave
Ste 2
Nyack, NY 10960
Phone (845) 358-4340

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

661 N Main St
Spring Valley, NY 10977
Phone (845) 426-5600

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

476 Christian Herald Rd
Vly Cottage, NY 10989
Phone (845) 268-6861

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1043476062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIKAU",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARIS",
            "last_name": "MELNIKAU",
            "middle_name": "ALIAKSANDROVICH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.