Active NPI
Leonid Chernobelsky, M.D.
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1104955491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 196218
- Practice address
- 134 Brighton 11 STR.
Brooklyn, NY 11235 - Phone
- (718) 616-1622
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 196218 | NY | Primary |
Addresses
Primary practice location
134 Brighton 11 STR.
Brooklyn, NY 11235
Mailing address
134 Brighton 11 STR
Brooklyn, NY 11235
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Brighton 11 St
Brooklyn, NY 11235
Phone (718) 616-1622
Hospital & facility affiliations
- Girling Health Care of New York
- Maimonides Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.9 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 65 |
| Melanoma (skin cancer) excision | 28 |
| Removal of tissue | 698 |
| Removal of skin lesions | 3196 |
| Removal of nail tissue | 16 |
| Skin biopsy | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196218 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Les Medical Services PC | Surgery | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients |
Locations
150 Brighton 11th St
Brooklyn, NY 11235
Phone (718) 616-1622
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- leonid.chernobelsky.p1@direct.mmc.nextgenshare.com
- leonidchernobelsky@mai.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Surgery Physician
- Brooklyn, NY
- NPI 1760504518
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104955491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 BRIGHTON 11 STR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 BRIGHTON 11 STR.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-616-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNOBELSKY",
"first_name": "LEONID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "196218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.