NPIMap

Individual provider Active NPI

Anna Marinovich, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1114987237
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207092 Issued in NY
Practice address
726 Avenue Z
Brooklyn, NY 11223-6322
Phone
(718) 872-7373
Fax
(718) 872-6772
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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 207092 NY Primary

Addresses

Primary practice location

726 Avenue Z
Brooklyn, NY 11223-6322

Mailing address

726 Avenue Z
Brooklyn, NY 11223-6322
Phone (718) 872-7373

Other identifiers 2

IdentifierTypeStateIssuer
01793071MedicaidNY
WGW-841OtherNYUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000966 NY Practitioner - Internal Medicine 7315939089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope and Health Medical Care PCGroup PAC ID 6406867761, 2 clinicians

Practice addresses (Care Compare)

726 Ave Z
Brooklyn, NY 11223-6322

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Health Medical Care PC Internal Medicine CurrentSince Mar 1, 2003 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients

Networks

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

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.

Hospital & facility affiliations 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1114987237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236322",
            "telephone_number": "718-872-7373",
            "fax_number": "718-872-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236322",
            "telephone_number": "718-872-7373",
            "fax_number": "718-872-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINOVICH",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793071",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "WGW-841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.