Lioudmila Kinachtchouk, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

LK061473 Issued in MI

Practice address

4705 Towne Ctr
Suite 102
Saginaw, MI 48604-2818

Phone

(989) 790-2984

Fax

(989) 790-2983

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians

Nikolai Kinachtchouk,M.D. and Lioudmila Kinachtchouk,M.D. P.L.C.Group PAC ID 0547153991, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lioudmilakinachtchouk-mmnlk@direct.medalliesmail.com
• Direct secure messaging: lioudmila.kinachtchouk.1@29770.direct.athenahealth.com

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.

• Nikolai Kinachtchouk,M.D. & Lioudmila Kinachtchouk,M.D. P.L.C.

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1740330414

  Internal Medicine, MI

  Medicare reassignment Care Compare group NPD Authorized official
• Rau Physical Therapy Inc

  • Rehabilitation Clinic/Center
  • Frankenmuth, MI
  • NPI 1841712825
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1124012786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD",
            "address_2": "SUITE 102",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-790-2984",
            "fax_number": "989-790-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CTR",
            "address_2": "SUITE 102",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-790-2984",
            "fax_number": "989-790-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINACHTCHOUK",
        "first_name": "LIOUDMILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "LK061473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4564845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young H Kim, M.D.
• Debra Jo Kimball-Christie, PA-C
• Tamara Kimball
• Abraham Kipkogei Kimeli, NP
• Gladys Kimeli, NP
• Nickolas Stephan Kinachtchouk
• Nikolai Kinachtchouk, M.D.
• Oleg Kinaschuk, MD
• Veronika Kinaschuk, M.D.
• Tina Kinch

• All providers in Saginaw, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.

Verify at the official NPI Registry.