Active NPI
Roman Andreyevich Kuznetsov, M.D.
- Family Medicine Physician
- Harlingen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R9998
- Practice address
- 5501 S Expressway 77
Harlingen, TX 78550-3213 - Phone
- (956) 215-6010
- NPI assigned
- Mar 30, 2016
- Last updated
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| BP10055926 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Current | Accepting new patients | |
| Padmini Bhadriraju MD P.a. | Current | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Family Medicine | Current | Accepting new patients |
| Physicians of Falmouth Hospital | Current | 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
- https://fhir4.healow.com/fhir/r4/HFBCCD
- 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.
-
- Internal Medicine Physician
- Falmouth, MA
- NPI 1821363698
-
dba Catalyst Hospitalists Group
- Hospitalist Physician
- Edinburg, TX
- NPI 1619278876
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Mashpee, MA
- NPI 1306391206
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
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
- Melinda Ann Kruger, LMT;LE
- Aracely Kundmueller, AGPCNP
- Cristina Mariuxi Kuon Yeng Escalante, MD
- Mogbolahan Martin Kuye, MD
- Taiwo A Kuye, M.D.
- L&M Anesthesia and Pain Management Consultants PLLC
- La Guadalupana Primary Home Care, LLC
- La Luz Health Care Services, Inc
- La Sierra Linda Adc
- Joseph Labeau, L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.