Individual provider Active NPI

Aleksei Viktorovich Plotnikov, M.D.

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1083671036
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9600815 Issued in NC
Practice address
520 N Elam Ave
Greensboro, NC 27403-1127
Phone
(336) 547-1700
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 9600815 NC Primary

Addresses

Primary practice location

520 N Elam Ave
Greensboro, NC 27403-1127

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 547-1572

Other practice location 1

709 Green Valley Rd 2nd Floor
Greensboro, NC 27408
Phone (336) 547-1792

Other identifiers 5

IdentifierTypeStateIssuer
14991OtherNCPARTNERS MEDICARE
8968247MedicaidNC
5729226OtherNCAETNA
65468OtherNCMEDCOST
68247OtherNCBCBS NC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aplotnikov16956@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000976 NC Practitioner - Internal Medicine 6800911496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1700

709 Green Valley Rd
Greensboro, NC 27408-7019

940 Golf House CT E
Whitsett, NC 27377-9296
Phone (336) 449-9848

Hospital & facility affiliations

  • Well Care Home Health of the Triad Inc Home health agency, Advance, NC, CCN 347051
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9600815NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jun 4, 2010 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jun 4, 2010 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Feb 1, 1999 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Feb 1, 1999 Accepting new patients

Locations

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

709 Green Valley Rd
Fl 2
Greensboro, NC 27408
Phone (336) 547-1792

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: aplotnikov16956@direct.conehealth.com

Organizations & group practices 5

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.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1083671036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-547-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031127",
            "telephone_number": "336-547-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Green Valley Rd 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27408",
            "country_code": "US",
            "telephone_number": "336-547-1792",
            "fax_number": "336-547-1769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOTNIKOV",
        "first_name": "ALEKSEI",
        "middle_name": "VIKTOROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "14991",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8968247",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5729226",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "65468",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "68247",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aplotnikov16956@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "709 Green Valley Rd 2nd Floor",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.