Bruce Kovalenko, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

050638 Issued in CT

Practice address

267 Grant St
Department of Diagnostic Radiology
Bridgeport, CT 06610-2805

Phone

(203) 384-3170

NPI assigned

Apr 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Interventional Radiology

Education

New York University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Keene PCGroup PAC ID 5698871960, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cheshire Medical Center Hospital, Keene, NH, CCN 300019
• Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
• Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309
• Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
• Grace Cottage Hospital Hospital, Townshend, VT, CCN 471300

Merit-based Incentive Payment System (MIPS)

Final score

92.5 of 100Reported as group

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkovalenko424253@direct.dartmouth-hitchcock.org

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.

• Radiology Associates of Keene PC

  • Diagnostic Radiology Physician
  • Keene, NH
  • NPI 1023074390
  Medicare reassignment Care Compare group NPD

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

• Brattleboro Memorial Hospital

  • General Acute Care Hospital
  • Brattleboro, VT
  • NPI 1306849708
  Care Compare affiliation
• Carlos G. Otis Health Care Center Inc.

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  Care Compare affiliation
• Cheshire Medical Center

  • General Acute Care Hospital
  • Keene, NH
  • NPI 1629181516
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  Care Compare affiliation
• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1457304149
  Care Compare affiliation
• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1881676104
  Care Compare affiliation

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1366769499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "address_2": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "address_2": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALENKO",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "050638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Kotsay, DENTIST
• Uttara Koul, MD
• Ashley Nicole Kovac
• Heather Kovac, WHNP-BC
• Amanda Koval, MS, CDN
• Sharon Kowalchik
• Michael Kraft
• Steven Krasnica, M.D.
• Nastajjia Krementz, MD
• Brian Krilivsky, R.D.

• Vascular & Interventional Radiology Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Vascular & Interventional Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.