Individual provider Active NPI

Boris Bentsianov, MD

  • Otolaryngology Physician
  • Brooklyn, NY
National Provider Identifier
1407816747
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
211012 Issued in NY
Practice address
40 West Brighton Avenue
Suite 103
Brooklyn, NY 11224-8440
Phone
(718) 996-2260
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 211012 NY Primary

Addresses

Primary practice location

40 West Brighton Avenue
Suite 103
Brooklyn, NY 11224-8440

Mailing address

40 West Brighton Avenue
Suite 103
Brooklyn, NY 11224-8440
Phone (718) 996-2260

Other identifiers 1

IdentifierTypeStateIssuer
02212619MedicaidNY

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
I20031110000263 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0840103578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

200 Livingston St
Brooklyn, NY 11201-5811
Phone (718) 522-3399

260 Ave X
Brooklyn, NY 11223-5940
Phone (718) 336-8855

40 W Brighton Ave
Suite 103
Brooklyn, NY 11224-4901
Phone (718) 996-2260

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-2310

770 Flatbush Ave
Brooklyn, NY 11226-1902
Phone (347) 627-3988

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. CurrentSince Oct 30, 2011 Accepting new patients
University Physicians of Brooklyn, Inc. Otolaryngology CurrentSince Oct 30, 2011 Accepting new patients
Brooklyn Eye and Ear Medical PC Otolaryngology CurrentSince Jul 1, 2002 Accepting new patients
Maimonides Medical Center Current Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Century Medical & Dental Center Inc CurrentSince Dec 18, 2002 Accepting new patients
Pro-Health Physical Therapy Services PLLC Past Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients
Long Island College Hospital Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Ocean Renal Care PC Past Accepting new patients
Elina Atlas Past Accepting new patients
Oksa Medical PC Otolaryngology PastSince Jun 1, 2004 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

134 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 780-1282

40 W Brighton Ave
Ste 103
Brooklyn, NY 11224
Phone (718) 743-0464

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

185 Montague St
Brooklyn Heights, NY 11201
Phone (718) 222-0021

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

185 Montague St
Fl 5
Brooklyn Heights, NY 11201
Phone (347) 564-7588

Networks

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

Interoperability endpoints

  • Direct secure messaging: blb9018@direct.nyp.org
  • Direct secure messaging: borisbentsianov@sunydmc.allscriptsdirect.net
  • Direct secure messaging: borisbentsianov@mai.allscriptsdirect.net
  • Direct secure messaging: bbentsianov1171714@nychhc.direct-ci.com

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 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1407816747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WEST BRIGHTON AVENUE",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112248440",
            "telephone_number": "718-996-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST BRIGHTON AVENUE",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112248440",
            "telephone_number": "718-996-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTSIANOV",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "211012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.