Individual provider Active NPI

Vitaly Volovoy, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1215949219
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205549 Issued in NY
Practice address
1009 Brighton Beach Ave
Suite 304
Brooklyn, NY 11235-5659
Phone
(718) 975-0657
Fax
(718) 975-0659
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205549 NY Primary

Addresses

Primary practice location

1009 Brighton Beach Ave
Suite 304
Brooklyn, NY 11235-5659

Mailing address

1009 Brighton Beach Ave
Suite 304
Brooklyn, NY 11235-5659
Phone (718) 975-0657

Other identifiers 1

IdentifierTypeStateIssuer
01786149MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000236 NY Practitioner - Internal Medicine 4486708708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighton Medical Care Ny PLLCGroup PAC ID 7810275377, 16 clinicians

Practice addresses (Care Compare)

1009 Brighton Beach Ave
Suite 2
Brooklyn, NY 11235-5621
Phone (718) 975-8500

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Merit-based Incentive Payment System (MIPS)

Final score
42.94 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
89.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205549NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health 4 U Medical PLLC Internal Medicine CurrentSince Oct 31, 2012 Accepting new patients
Brighton Medical Care Ny PLLC CurrentSince Sep 1, 2016 Accepting new patients
Medical Diagnostic of Brooklyn PLLC PastSince Sep 29, 2009 Accepting new patients
Brooklyn Medical Associate, LFPC Internal Medicine Past Accepting new patients

Locations

8918 Avenue L
Brooklyn, NY 11236
Phone (347) 221-8702

1009 Brighton Beach Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 231-4123

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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.

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1215949219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "SUITE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355659",
            "telephone_number": "718-975-0657",
            "fax_number": "718-975-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "SUITE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355659",
            "telephone_number": "718-975-0657",
            "fax_number": "718-975-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLOVOY",
        "first_name": "VITALY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01786149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.