Nikolai Kinachtchouk, M.D.
Individual provider Active NPI Internal Medicine Physician · Saginaw, MI
NPI 1306830963 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1306830963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- NK065669 (MI)
- Practice address
- 4705 Towne Ctr
Suite 102
Saginaw, MI 48604-2818 - Phone
- (989) 790-2984
- Fax
- (989) 790-2983
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Saginaw Valley Medical College - NLG, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nikolai Kinachtchouk,M.D. and Lioudmila Kinachtchouk,M.D. P.L.C.
Practice addresses (Care Compare)
4705 Towne Centre Rd
Suite 102
Saginaw, MI 48604-2820
Phone (989) 497-3144
Hospital & facility affiliations
- Mymichigan Medical Center Saginaw
- Covenant Medical Center
- Mymichigan Medical Center Midland
- Tawas St Joseph Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 38 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040205000733 | MI | Practitioner - Internal Medicine | 5991698631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NK065669 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikolai Kinachtchouk,M.D. & Lioudmila Kinachtchouk,M.D. P.L.C. | Internal Medicine | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4705 Towne Centre Rd
Ste 102
Saginaw, MI 48604
Phone (517) 797-3145
Interoperability endpoints
- nikolaikinachtchouk-mmnlk@direct.medalliesmail.com
- nikolai.kinachtchouk.1@29770.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NK065669 | MI | Yes |
Addresses
Primary practice location
4705 Towne Ctr
Suite 102
Saginaw, MI 48604-2818
Mailing address
4705 Towne Ctr
Suite 102
Saginaw, MI 48604-2818
Phone (989) 790-2984
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4564863 | Medicaid | MI |
Other providers in Saginaw, MI
- Tamara Kimball
- Abraham Kipkogei Kimeli
- Gladys Kimeli
- Lioudmila Kinachtchouk
- Nickolas Stephan Kinachtchouk
- Oleg Kinaschuk
- Veronika Kinaschuk
- Tina Kinch
- Austin G King
- Breanna Antionette King
All providers in Saginaw, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.