Active NPI
Katsiaryna Falkovich, PA-C
- Physician Assistant
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114220
- Practice address
- 400 Pinellas St Ste 200
Clearwater, FL 33756-3312 - Phone
- (727) 462-2131
- Fax
- (727) 266-4914
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018642 | NY | |
| Physician Assistant | 363A00000X | PA9114220 | FL | Primary |
Addresses
Primary practice location
400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Mailing address
400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Phone (727) 462-2131
Other practice location 1
1520 Thieriot Ave
Apt. # D - 3
Bronx, NY 10460-3431
Phone (646) 226-7136
Other practice location 2
2102 Trinity Oaks Blvd Ste 202
Trinity, FL 34655-4409
Phone (727) 462-2131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients |
Locations
400 Pinellas St
Ste 200
Clearwater, FL 33756
Phone (727) 462-2131
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601
2102 Trinity Oaks Blvd
Ste 202
Trinity, FL 34655
Phone (727) 462-2131
111 E 210th St
Bronx, NY 10467
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kfalkovich841554@nychhc.direct-ci.com
- katsiaryna.falkovichpa@direct.mybaycare.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- New York, NY
- NPI 1760288278
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1184094203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PINELLAS ST STE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563312",
"telephone_number": "727-462-2131",
"fax_number": "727-266-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINELLAS ST STE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563312",
"telephone_number": "727-462-2131",
"fax_number": "727-266-4914"
}
],
"practiceLocations": [
{
"address_1": "1520 Thieriot Ave",
"address_2": "Apt. # D - 3",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104603431",
"country_code": "US",
"telephone_number": "646-226-7136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2102 Trinity Oaks Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346554409",
"country_code": "US",
"telephone_number": "727-462-2131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALKOVICH",
"first_name": "KATSIARYNA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018642",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.