Individual provider Active NPI

Igor A. Kraev, M.D.

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1255320891
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205135 Issued in NY
Practice address
1201 Nott Street
Suite 307
Schenectady, NY 12308-2589
Phone
(518) 243-3388
Fax
(518) 243-1329
NPI assigned
Oct 17, 2005
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205135 NY Primary

Addresses

Primary practice location

1201 Nott Street
Suite 307
Schenectady, NY 12308-2589

Mailing address

4900 Broad Rd Ste 3M
Syracuse, NY 13215-2265
Phone (315) 464-7010

Other identifiers 1

IdentifierTypeStateIssuer
01735859MedicaidNY

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
I20040413000273 NY Practitioner - Family Practice 5193719177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Family and Preventive Medicine IncGroup PAC ID 6800185711, 30 clinicians

Practice addresses (Care Compare)

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 432-8899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
85.15
Promoting interoperability
100
Improvement activities
40
Cost
80.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family and Preventive Medicine, Inc Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Ellis Hospital PastSince Jan 28, 2024 Accepting new patients
Family Medicine Medical Service Group Family Medicine PastSince Jul 23, 2015 Accepting new patients

Locations

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

4900 Broad Rd
Ste 3
Syracuse, NY 13215
Phone (315) 492-3400

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211
Phone (315) 432-8899

Interoperability endpoints

  • Direct secure messaging: ikraev84487@direct.upstate.edu

Organizations & group practices 3

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 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1255320891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD STE 3M",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-464-7010",
            "fax_number": "154-643-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT STREET",
            "address_2": "SUITE 307",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-243-3388",
            "fax_number": "518-243-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEV",
        "first_name": "IGOR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01735859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.