Individual provider Active NPI

Robert Kalman Novich, MD

  • Nephrology Physician
  • Larchmont, NY
National Provider Identifier
1114934585
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
124336 Issued in NY
Practice address
2001 Palmer Ave
Suite 107
Larchmont, NY 10538-2468
Phone
(914) 633-8705
Fax
(914) 633-5609
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 124336 NY Primary

Addresses

Primary practice location

2001 Palmer Ave
Suite 107
Larchmont, NY 10538-2468

Mailing address

2001 Palmer Ave
Suite 107
Larchmont, NY 10538-2468
Phone (914) 633-8705

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
I20080303000468 NY Practitioner - Nephrology 1456435270 Practice locations: Larchmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Palmer Ave
Suite 107
Larchmont, NY 10538-2420
Phone (914) 633-8705

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
48.96 of 100Reported as individual
Quality
62.57
Improvement activities
0
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124336NYMDSocial Worker

Hospital & facility affiliations 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1114934585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PALMER AVE",
            "address_2": "SUITE 107",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382468",
            "telephone_number": "914-633-8705",
            "fax_number": "914-633-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PALMER AVE",
            "address_2": "SUITE 107",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382468",
            "telephone_number": "914-633-8705",
            "fax_number": "914-633-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICH",
        "first_name": "ROBERT",
        "middle_name": "KALMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "124336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.