Individual provider Active NPI

Aleksandr Kravtsov, M.D., D.O.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1326215542
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
247642 Issued in NY
Practice address
9707 3Rd Ave Ste 2B
Brooklyn, NY 11209-7751
Phone
(718) 687-1200
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 247642 NY Primary

Addresses

Primary practice location

9707 3Rd Ave Ste 2B
Brooklyn, NY 11209-7751

Mailing address

9707 3Rd Ave Ste 2B
Brooklyn, NY 11209-7751
Phone (718) 687-1200

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
I20081118000538 NY Practitioner - Obstetrics/Gynecology 7719047927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9707 3Rd Ave
Suite 2B
Brooklyn, NY 11209-7751
Phone (718) 687-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247642NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Apr 1, 2022 Accepting new patients
Kings Physician Services, PC CurrentSince Apr 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Aug 15, 2008 Accepting new patients
Dr Gregory Shifrin OBGYN PC Obstetrics & Gynecology CurrentSince Apr 1, 2016 Accepting new patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Aug 15, 2008 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1766 E 12th St
Brooklyn, NY 11229
Phone (718) 375-2200

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

Networks

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

Interoperability endpoints

  • Direct secure messaging: alk9138@direct.nyp.org
  • Direct secure messaging: aleksandrkravtsovmedical.aleksandrkravtsov@148594.advancedmd-direct.com
  • Direct secure messaging: alkratso@montefioredirect.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1326215542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 3RD AVE STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097751",
            "telephone_number": "718-687-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 3RD AVE STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097751",
            "telephone_number": "718-687-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVTSOV",
        "first_name": "ALEKSANDR",
        "credential": "M.D., D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "247642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.