Individual provider Active NPI

Boris Usherenko, MD

  • Anesthesiology Physician
  • Mount Kisco, NY
National Provider Identifier
1467692210
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
241302 Issued in NY
Practice address
400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Phone
(914) 666-8866
Fax
(914) 666-6777
NPI assigned
Mar 5, 2009
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 64241 CT
Anesthesiology Physician 207L00000X 241302 NY Primary

Addresses

Primary practice location

400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417

Mailing address

118 N Bedford Rd
Suite 200
Mount Kisco, NY 10549-2553
Phone (914) 666-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090716000462 NY Practitioner - Anesthesiology 3779635016 Reassigns benefits to 1 organization
I20210113001034 CT Practitioner - Anesthesiology 3779635016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

195 E Main St
Huntington, NY 11743-2957
Phone (914) 666-8866

40 Old Ridgebury Rd
Danbury, CT 06810-5119
Phone (203) 205-2840

670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone (914) 666-8866

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince May 12, 2019 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Mar 17, 2020 Accepting new patients
Mount Kisco Medical Group PastSince May 12, 2019 Accepting new patients
Orthopaedic Specialty Surgery Center LLC PastSince Oct 10, 2020 Accepting new patients

Locations

40 Old Ridgebury Rd
Danbury, CT 06810
Phone (203) 205-2840

644 Stoneleigh Ave
Carmel, NY 10512

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1467692210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD",
            "address_2": "SUITE 200",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492553",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHERENKO",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "64241",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "241302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.