Individual provider Active NPI

Svetlana Trounina, M.D.,

  • Physical Medicine & Rehabilitation Physician
  • Canandaigua, NY
National Provider Identifier
1457557514
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
241242 Issued in NY
Practice address
241 Parrish St
Suite B
Canandaigua, NY 14424-1784
Phone
(585) 394-1300
Fax
(585) 394-1305
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 241242 NY Primary

Addresses

Primary practice location

241 Parrish St
Suite B
Canandaigua, NY 14424-1784

Mailing address

241 Parrish St
Suite B
Canandaigua, NY 14424-1784
Phone (347) 387-5149

Other identifiers 1

IdentifierTypeStateIssuer
02924936MedicaidNY

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
I20080110000625 NY Practitioner - Physical Medicine and Rehabilitation 1052491446 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medalliance Medical Health Services Inc CurrentSince May 15, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

5041 Broadway
Ofc 2
New York, NY 10034
Phone (646) 869-2144

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1457557514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PARRISH ST",
            "address_2": "SUITE B",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241784",
            "telephone_number": "347-387-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PARRISH ST",
            "address_2": "SUITE B",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241784",
            "telephone_number": "585-394-1300",
            "fax_number": "585-394-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUNINA",
        "first_name": "SVETLANA",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "241242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02924936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.