Individual provider Active NPI

Katsiaryna Falkovich, PA-C

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1184094203
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114220 Issued in FL
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

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180411001940 NY Practitioner - Physician Assistant 3173886801 Reassigns benefits to 1 organization
I20220614000856 FL Practitioner - Physician Assistant 3173886801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 16, 2018 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Feb 16, 2018 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

  • Direct secure messaging: kfalkovich841554@nychhc.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.