Individual provider Active NPI

Alla Savransky, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1336295104
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219115 Issued in NY
Practice address
457 FDR Dr
New York, NY 10002-5954
Phone
(212) 260-0690
Fax
(212) 254-4694
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219115 NY Primary

Addresses

Primary practice location

457 FDR Dr
New York, NY 10002-5954

Mailing address

457 FDR Dr
New York, NY 10002-5954
Phone (212) 260-0690

Other identifiers 1

IdentifierTypeStateIssuer
861531OtherNYMEDICARE PTAN

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
I20031113000373 NY Practitioner - Internal Medicine 4587578661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9945 67TH Rd
Suite 103
Forest Hills, NY 11375-3037
Phone (718) 830-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219115NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Medical Group PC Internal Medicine CurrentSince Sep 30, 2003 Accepting new patients

Locations

9945 67th Rd
Ste 103
Forest Hills, NY 11375
Phone (718) 275-2698

457 Fdr Dr
New York, NY 10002
Phone (212) 254-8877

Networks

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

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1336295104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 FDR DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025954",
            "telephone_number": "212-260-0690",
            "fax_number": "212-254-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 FDR DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025954",
            "telephone_number": "212-260-0690",
            "fax_number": "212-254-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVRANSKY",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "861531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.