Individual provider Active NPI

Olga Krivitsky, MD

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
National Provider Identifier
1255434635
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L14028R Issued in LA
Practice address
4224 Houma Blvd Ste 470
Metairie, LA 70006-2980
Phone
(504) 456-5160
Fax
(504) 469-1979
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L14028R LA Primary

Addresses

Primary practice location

4224 Houma Blvd Ste 470
Metairie, LA 70006-2980

Mailing address

5920 Wheeler Dr
Metairie, LA 70003
Phone (504) 888-2945

Other identifiers 2

IdentifierTypeStateIssuer
1484733MedicaidLA
P00266138OtherLAMEDICARE RAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L14028RLAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Healthwest New Orleans LLC Past Accepting new patients
Meridian Healthcare Services, LLC Past Accepting new patients
Gulf States Rehabilitation Associates,LTD. Physical Medicine & Rehabilitation Past Accepting new patients
Luis R Franco MD LLC Physical Medicine & Rehabilitation Past Accepting new patients
Gulf States Rehabilitation & Associates Physical Medicine & Rehabilitation Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1255434635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 WHEELER DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70003",
            "telephone_number": "504-888-2945",
            "fax_number": "504-469-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 470",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062980",
            "telephone_number": "504-456-5160",
            "fax_number": "504-469-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVITSKY",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "L14028R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484733",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00266138",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.