Individual provider Active NPI

Mikhail Abramov, MD

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1306921796
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
229634 Issued in NY
Practice address
2475 St. Raymonds Ave
Bronx, NY 10461-3124
Phone
(718) 730-7300
NPI assigned
Oct 26, 2006
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 229634 NY Primary

Addresses

Primary practice location

2475 St. Raymonds Ave
Bronx, NY 10461-3124

Mailing address

PO Box a
North Bellmore, NY 11710-0745
Phone (800) 720-1664

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
I20040324001795 NY Practitioner - Anesthesiology 2062304264 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229634NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Medical PC Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Feb 18, 2025 Accepting new patients
York Anesthesiologists PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Queens Endoscopy ASC, LLC CurrentSince Feb 13, 2014 Accepting new patients
Daniel J Alpert, M.D. PLLC PastSince Apr 1, 2017 Accepting new patients

Locations

46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631

5500 Broadway
Ste A
Bronx, NY 10463
Phone (718) 543-3635

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1306921796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117100745",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 ST. RAYMONDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613124",
            "telephone_number": "718-730-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOV",
        "first_name": "MIKHAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "229634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.