Individual provider Active NPI

Kirill Alekseyev, MD, MBA

  • Hospitalist Physician
  • Dover, DE
National Provider Identifier
1386054484
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME151532 Issued in FL
Practice address
1240 McKee Rd
Dover, DE 19904-1381
Phone
(302) 922-1044
NPI assigned
Apr 29, 2014
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X C10012721 DE
Hospitalist Physician 208M00000X ME151532 FL Primary

Addresses

Primary practice location

1240 McKee Rd
Dover, DE 19904-1381

Mailing address

1240 McKee Rd
Dover, DE 19904-1381
Phone (302) 922-1044

Other practice location 1

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-6205

Other practice location 2

1730 Mayo Dr
Tavares, FL 32778-4308
Phone (561) 531-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190221002975 DE Practitioner - Physical Medicine and Rehabilitation 6901145721 Reassigns benefits to 1 organization
I20241230000461 FL Practitioner - Physical Medicine and Rehabilitation 6901145721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pam Physician EnterpriseGroup PAC ID 1254628589, 34 clinicians

Practice addresses (Care Compare)

1240 McKee Rd
Dover, DE 19904-1381
Phone (302) 922-1044

1730 Mayo Dr
Tavares, FL 32778-4308
Phone (561) 532-3111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10012721DEMDSports Medicine (Physical Medicine & Rehabilitation) Physician
ME151532FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants LLC Current Accepting new patients
Pam Physician Enterprise CurrentSince Dec 29, 2018 Accepting new patients
Pam Squared at Dover LLC Past Accepting new patients

Locations

1240 McKee Rd
Dover, DE 19904
Phone (302) 672-5800

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1386054484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MCKEE RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199041381",
            "telephone_number": "302-922-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MCKEE RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199041381",
            "telephone_number": "302-922-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 Mayo Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784308",
            "country_code": "US",
            "telephone_number": "561-531-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEKSEYEV",
        "first_name": "KIRILL",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DE",
            "license": "C10012721",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME151532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.