Alla Chesky, MD
Individual provider Active NPI Internal Medicine Physician · Fairfield, CT
NPI 1194707463 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1194707463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036195 (CT)
- Practice address
- 111 Beach Rd
Fairfield, CT 06824-6668 - Phone
- (203) 259-7442
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rehabilitation Associates Inc
Northeast Medical Group Inc
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
226 Mill Hill Ave
Suite 3
Bridgeport, CT 06610-2826
Phone (203) 384-3976
Hospital & facility affiliations
- Hartford Healthcare at Home
- Stratford Vna
- Patient Care
- Bridgeport Hospital
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150930000295 | CT | Practitioner - Internal Medicine | 3870571680 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036195 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health, Inc. | Internal Medicine | Current |
Accepting new patients |
| Northeast Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Hampden County Physician Associates, LLC | Internal Medicine | Past | Accepting new patients |
| Hampden County Physician Associates, LLC. | Past | Accepting new patients |
Locations
226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
111 Beach Rd
Fairfield, CT 06824
Phone (203) 255-2766
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
5520 Park Ave
Trumbull, CT 06611
Phone (203) 334-7400
Interoperability endpoints
- achesky377017@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 153045 | MA | |
| Internal Medicine Physician | 207R00000X | 036195 | CT | Yes |
Addresses
Primary practice location
111 Beach Rd
Fairfield, CT 06824-6668
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1000
Phone (413) 794-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3172074 | Medicaid | MA |
Other names
- Alla Tchesnovetskaya
Other providers in Fairfield, CT
- Chandler-Drakes Eyecare LLC
- Jennifer Chapman
- Charles G. Hemenway Jr., M.D. P.C.
- Charles J.Applebaum DDS
- Noah Charleston
- Amarjit Singh Chhatwal
- Children'S Dental Associates
- Children'S Therapy and Learning Center
- Murali Chiravuri
- Chiropractic Health & Wellness Center LLC
All providers in Fairfield, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.