Active NPI
Oleksandr Halytskyy, MD
- Internal Medicine Physician
- West Plains, MO
National Provider Identifier
1386084630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2017017854
- Practice address
- 1100 N Kentucky Ave
West Plains, MO 65775-2029 - Phone
- (417) 257-5800
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD15523 | RI | |
| Internal Medicine Physician | 207R00000X | 125.063541 | IL | |
| Internal Medicine Physician | 207R00000X | 2017017854 | MO | Primary |
Addresses
Primary practice location
1100 N Kentucky Ave
West Plains, MO 65775-2029
Mailing address
PO Box 1100
West Plains, MO 65775-1100
Phone (417) 257-5800
Other practice location 1
111 Brewster St
Pawtucket, RI 02860-4474
Phone (773) 729-2945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386084630 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 257-6789
Hospital & facility affiliations
- Ozarks Healthcare
- Mercy Hospital Springfield
- Cox Medical Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 78.58
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.063541 | IL | MD | Internal Medicine Physician |
| 2017017854 | MO | MD | Internal Medicine Physician |
| MD15523 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies HSP Missouri LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Current | Accepting new patients |
Locations
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
Interoperability endpoints
- dr.halytskyy@mhccaremail.com
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 and National Provider Directory roles.
-
- Hospitalist Physician
- West Plains, MO
- NPI 1962102871
-
- Psychiatric Hospital Unit
- West Plains, MO
- NPI 1235929027
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386084630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657751100",
"telephone_number": "417-257-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N KENTUCKY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752029",
"telephone_number": "417-257-5800"
}
],
"practiceLocations": [
{
"address_1": "111 Brewster St",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604474",
"country_code": "US",
"telephone_number": "773-729-2945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALYTSKYY",
"first_name": "OLEKSANDR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD15523",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.063541",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2017017854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386084630",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.