Individual provider Active NPI

Roman Andreyevich Kuznetsov, M.D.

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1205299039
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9998 Issued in TX
Practice address
5501 S Expressway 77
Harlingen, TX 78550-3213
Phone
(956) 215-6010
NPI assigned
Mar 30, 2016
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10055926 TX
Family Medicine Physician 207Q00000X R9998 TX Primary

Addresses

Primary practice location

5501 S Expressway 77
Harlingen, TX 78550-3213

Mailing address

2000 S McColl Rd Ste B
#303
McAllen, TX 78503-8736
Phone (956) 215-6010

Other practice location 1

205 E Toronto Ave
McAllen, TX 78503-1209
Phone (956) 687-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190626003676 TX Practitioner - Family Practice 0345532503 Reassigns benefits to 1 organization
I20210715004280 MA Practitioner - Family PracticePractitioner - Hospitalist 0345532503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Falmouth HospitalGroup PAC ID 6800051970, 92 clinicians

Practice addresses (Care Compare)

100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 771-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.37 of 100Reported as group
Quality
83.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10055926TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Padmini Bhadriraju MD P.a. CurrentSince Jun 1, 2019 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Sep 6, 2021 Accepting new patients
Falmouth Hospital Association Inc Past Accepting new patients

Locations

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

5 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-8300

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

508 Victoria Ln
Harlingen, TX 78550
Phone (956) 425-6900

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2000 S McColl Rd
Ste B
McAllen, TX 78503
Phone (956) 215-6010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBCCD
  • Direct secure messaging: rkuznetsov44847@direct.capecodhealthcare.masshiway.net

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

Hospital & facility affiliations 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1205299039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MCCOLL RD STE B",
            "address_2": "#303",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785038736",
            "telephone_number": "956-215-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S EXPRESSWAY 77",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503213",
            "telephone_number": "956-215-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Toronto Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031209",
            "country_code": "US",
            "telephone_number": "956-687-6155",
            "fax_number": "956-618-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZNETSOV",
        "first_name": "ROMAN",
        "middle_name": "ANDREYEVICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10055926",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.