NPIMap

Individual provider Active NPI

Aleksandr Maksumov, D.O

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1407174519
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
256729-1 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-5506
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 256729-1 NY Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

111 E 210TH St
Bronx, NY 10467-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000655 NY Practitioner - Diagnostic Radiology 4688866767 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (914) 597-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256729-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. CurrentSince May 4, 2021 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 1, 2022 Accepting new patients
White Plains Hospital Medical Center Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2017 Accepting new patients
Flushing Hospital Medical Center CurrentSince Aug 1, 2017 Accepting new patients
White Plains Hospital Medical Center CurrentSince Apr 1, 2015 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2017 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 1, 2022 Accepting new patients
White Plains Physician Services PC CurrentSince Jan 1, 2021 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients
Montefiore Medical Center Diagnostic Radiology Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

17660 Union Tpke
Ste 100
Fresh Meadows, NY 11366
Phone (718) 408-6977

600 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 628-6966

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

1296 North Ave
New Rochelle, NY 10804
Phone (914) 235-7435

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

259 Heathcote Rd
Scarsdale, NY 10583
Phone 9147238100106

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1407174519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSUMOV",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "256729-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.