NPIMap

Individual provider Active NPI

Marina Kovalevsky, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1144377607
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63485 Issued in CA
Practice address
7737 Santa Monica BL
Los Angeles, CA 90046-6269
Phone
(323) 650-3335
Fax
(323) 650-3337
NPI assigned
Jan 5, 2007
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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 A63485 CA Primary

Addresses

Primary practice location

7737 Santa Monica BL
Los Angeles, CA 90046-6269

Mailing address

7737 Santa Monica Blvd
West Hollywood, CA 90046-6269
Phone (323) 650-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040623001531 CA Practitioner - Internal Medicine 0547160772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7737 Santa Monica Blvd
West Hollywood, CA 90046-6269
Phone (323) 650-3335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions49
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63485CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marina Kovalevsky, M.D., a Professional Corporation Internal Medicine CurrentSince Apr 12, 2000 Accepting new patients
Cedars-Sinai Medical Center PastSince Apr 12, 2000 Accepting new patients
Yevgeny Bukrinsky Past Accepting new patients

Locations

7737 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 650-3335

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mkovalevsky103111@direct.cshs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1144377607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466269",
            "telephone_number": "323-650-3335",
            "fax_number": "323-650-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SANTA MONICA BL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900466269",
            "telephone_number": "323-650-3335",
            "fax_number": "323-650-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEVSKY",
        "first_name": "MARINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.