Individual provider Active NPI

Olga A Burzyantseva, M.D.

  • Cardiovascular Disease Physician
  • Kew Gardens, NY
National Provider Identifier
1104072586
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
271151 Issued in NY
Practice address
12510 Queens Blvd
Ste 2701
Kew Gardens, NY 11415-1519
Phone
(718) 261-0444
Fax
(718) 261-0940
NPI assigned
Aug 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY
Nuclear Cardiology Physician 207UN0901X 271151 NY
Cardiovascular Disease Physician 207RC0000X 271151 NY Primary

Addresses

Primary practice location

12510 Queens Blvd
Ste 2701
Kew Gardens, NY 11415-1519

Mailing address

PO Box 9608
Uniondale, NY 11555-9608
Phone (718) 261-0444

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325000862 NY Practitioner - Cardiovascular Disease (Cardiology) 7719118322 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Intermed Medical Ny P.C.Group PAC ID 6204135569, 2 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

131 W 35TH St
Suite 700
New York, NY 10001-2111
Phone (718) 633-2455

97 Amity St
Brooklyn, NY 11201-6004
Phone (212) 598-6784

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271151NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed Medical Ny PC Nuclear Cardiology CurrentSince Nov 7, 2023 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Aristahealth Medical Care PC CurrentSince Nov 1, 2022 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince Nov 16, 2019 Accepting new patients
Marian David, MD PC Specialist Past Accepting new patients
Yakov Levy MD PC Past Accepting new patients

Locations

2329 Nostrand Ave
Ste 600
Brooklyn, NY 11210
Phone 7186332455107

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

11241 Queens Blvd
Ste Lla
Forest Hills, NY 11375
Phone (718) 251-8050

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

131 W 35th St
Ste 700
New York, NY 10001
Phone 21247580661137

110 W 14th St
New York, NY 10011
Phone (212) 242-4333

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: olga.burzyantseva.1@13555.direct.athenahealth.com
  • Direct secure messaging: oburzyantseva542686@nyumc.direct-ci.com

Organizations & group practices 7

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 7

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": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1104072586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9608",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559608",
            "telephone_number": "718-261-0444",
            "fax_number": "718-261-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD",
            "address_2": "STE 2701",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151519",
            "telephone_number": "718-261-0444",
            "fax_number": "718-261-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURZYANTSEVA",
        "first_name": "OLGA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "271151",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "271151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.