Inna K Factourovich, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

233924 Issued in NY

Practice address

10-42 Mitchell Ave
Binghamton, NY 13903-1617

Phone

(607) 762-2990

Fax

(607) 762-2639

NPI assigned

Jul 4, 2006

Last updated

May 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Broome County Mental Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Binghamton, NY
  • NPI 1629094065
  NPD
• Broome County

  dba Willow Point Nursing Home

  • Skilled Nursing Facility
  • Vestal, NY
  • NPI 1750477923
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1427088467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SAN MARCO DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137905017",
            "telephone_number": "607-761-6168",
            "fax_number": "607-729-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-42 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031617",
            "telephone_number": "607-762-2990",
            "fax_number": "607-762-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACTOUROVICH",
        "first_name": "INNA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "233924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NY",
            "identifier": "051110000061",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000233924",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10097185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exigence Medical of Binghamton PLLC
• F Keith Kennedy MD PC
• Daniella Fabian
• Danielle Lee Fabregas, LCSW
• Alexander Yakov Factourovich, MD
• Bailey Fahnestock
• Fairchild Pedorthotic/Orthotic Services LLC
• Edward Fairchild, CO, CPED
• Fairview Recovery Services, Inc
• Margo A Falise, LCSW-R

• Psychiatry Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.