NPIMap

Individual provider Active NPI

Yevgeniy Kharonov, DO

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1255891982
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS21816 Issued in FL
Practice address
1150 NW 14TH St Ste 713
Miami, FL 33136-2118
Phone
(305) 243-1579
Fax
(305) 243-3435
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1016458 MA
Diagnostic Radiology Physician 2085R0202X OS21816 FL Primary

Addresses

Primary practice location

1150 NW 14TH St Ste 713
Miami, FL 33136-2118

Mailing address

1150 NW 14TH St Ste 713
Miami, FL 33136-2118
Phone (305) 243-1579

Other practice location 1

55 Lake Ave North
Worcester, MA 01655-0002
Phone (508) 334-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240619001663 MA Practitioner - Diagnostic Radiology 9537591110 Reassigns benefits to 2 organizations
I20250630001577 FL Practitioner - Diagnostic Radiology 9537591110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1115 NW 14TH St
Applebaum MRI Center
Miami, FL 33136-2106
Phone (305) 243-3564

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21816FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jun 1, 2025 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jun 12, 2024 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Jun 12, 2024 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1115 NW 14th St
Miami, FL 33136
Phone (305) 243-5520

1150 NW 14th St
Ste 713
Miami, FL 33136
Phone (305) 243-1579

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

10 Little Brook Rd
West Wareham, MA 02576

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Interoperability endpoints

  • Direct secure messaging: ykharonov170839@direct.med.miami.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1255891982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 713",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362118",
            "telephone_number": "305-243-1579",
            "fax_number": "305-243-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 713",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362118",
            "telephone_number": "305-243-1579",
            "fax_number": "305-243-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave North",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHARONOV",
        "first_name": "YEVGENIY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1016458",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS21816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.