Boris Vinogradsky, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35.075888 Issued in OH

Practice address

36100 Euclid Ave Ste 330B
Willoughby, OH 44094-4489

Phone

(440) 953-8055

Fax

(440) 953-0242

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

Yes

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 OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ambulatory Anesthesia Services, LLC

  • Anesthesiology Physician
  • Willoughby, OH
  • NPI 1922270495
  NPD (past)
• Nes Ohio Inc

  • Emergency Medicine Physician
  • Barnesville, OH
  • NPI 1043699200
  NPD (past)
• Willoughby Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Willoughby, OH
  • NPI 1255503553
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1447220025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 330B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944489",
            "telephone_number": "440-953-8055",
            "fax_number": "440-953-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 330B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944489",
            "telephone_number": "440-953-8055",
            "fax_number": "440-953-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOGRADSKY",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.075888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000227664",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00275951",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Vencl, CLPN
• J Michael Vento, M.D.
• Veritacare LTD (Veritacare)
• Lolita Vernon
• Abigail Vild
• Liese K Vito, MD
• Jennifer Elizabeth Vittek
• Emily E Vladic
• Franjo Vladic, MD
• Dragana Vlajic

• Surgery Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.