Individual provider Active NPI

Yelena Kamenker-Orlov, M.D., PH.D.

  • Internal Medicine Physician
  • West Roxbury, MA
National Provider Identifier
1457390601
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
157520 Issued in MA
Practice address
West Roxbury VA Medical Center, Ambulatory Care
1400 VFW Parkway
West Roxbury, MA 02132
Phone
(857) 203-3000
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 157520 MA Primary
Nuclear Cardiology Physician 207UN0901X 157520 MA

Addresses

Primary practice location

West Roxbury VA Medical Center, Ambulatory Care
1400 VFW Parkway
West Roxbury, MA 02132

Mailing address

542 Lowell Ave
Newton, MA 02460-2353
Phone (617) 916-9626

Other names 1

  • Yelena Kamenker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120125000185 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7719174176

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1457390601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LOWELL AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024602353",
            "telephone_number": "617-916-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST ROXBURY VA MEDICAL CENTER, AMBULATORY CARE",
            "address_2": "1400 VFW PARKWAY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "857-203-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENKER-ORLOV",
        "first_name": "YELENA",
        "credential": "M.D.,  PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "157520",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MA",
            "license": "157520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "KAMENKER",
            "credential": "M.D.,PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.