NPIMap

Individual provider Active NPI

Faina Gurevich, M.D.

  • Nephrology Physician
  • Johnstown, PA
National Provider Identifier
1457535031
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD442440 Issued in PA
Practice address
350 Budfield St
Johnstown, PA 15904-3214
Phone
(814) 266-9919
NPI assigned
Dec 19, 2007
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD442440 PA Primary

Addresses

Primary practice location

350 Budfield St
Johnstown, PA 15904-3214

Mailing address

203 Stardust Dr
Johnstown, PA 15904-3067
Phone (814) 410-2941

Other identifiers 1

IdentifierTypeStateIssuer
390200000XMedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150216001458 PA Practitioner - Nephrology 2567787575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurel Kidney Specialists,P.C.Group PAC ID 1658696661, 3 clinicians

Practice addresses (Care Compare)

350 Budfield St
Johnstown, PA 15904-3280
Phone (814) 266-9919

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Kidney Specialists,P.C. Nephrology CurrentSince Dec 30, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

320 Main St
Johnstown, PA 15901
Phone (814) 533-0123

350 Budfield St
Johnstown, PA 15904
Phone (412) 576-5714

970 Franklin St
Johnstown, PA 15905
Phone (814) 248-3004

3 Penn Ctr W
Ste 127
Pittsburgh, PA 15276

Interoperability endpoints

  • Direct secure messaging: faina.gurevich@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1457535031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STARDUST DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043067",
            "telephone_number": "814-410-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043214",
            "telephone_number": "814-266-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREVICH",
        "first_name": "FAINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD442440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390200000X",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.