Alexander Jan Kieturakis, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

316227 Issued in NY

Practice address

4835 Belmont Rd Apt 8
Downers Grove, IL 60515-3249

Phone

(937) 371-6331

NPI assigned

Apr 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NC2 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

Specialty

Diagnostic Radiology

Education

Chicago College of Osteopathy, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

New York City Health and Hospitals CorporationGroup PAC ID 4183535305, 543 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellevue Hospital Center Hospital, New York, NY, CCN 330204
• Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: akieturakis497111@nyumc.direct-ci.com
• Direct secure messaging: akieturakis2111384@nychhc.direct-ci.com

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.

• New York City Health and Hospitals Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment Care Compare group NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NC, NY

  Medicare reassignment Care Compare group NPD
• Columbus Regional Healthcare System

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Medicare reassignment
• Valley Radiology P a

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1093723538
  Medicare reassignment
• Brier Creek Imaging, LLC

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1760610836

  Diagnostic Radiology

  NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1356406136
  NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Pinnacle Health Services of North Carolina LLC

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1457300089

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  • Radiology Clinic/Center
  • Cary, NC
  • NPI 1346996485

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  • Radiology Clinic/Center
  • Clayton, NC
  • NPI 1548454127

  Diagnostic Radiology

  NPD
• Pinnacle Health Services of North Carolina, LLC

  • Radiology Clinic/Center
  • Wake Forest, NC
  • NPI 1598959934

  Diagnostic Radiology

  NPD

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

• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • New York, NY
  • NPI 1073535027
  Care Compare affiliation
• NYU Langone Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Patchogue, NY
  • NPI 1013724061

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1831910355
  Care Compare affiliation

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1467985226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 BELMONT RD APT 8",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153249",
            "telephone_number": "937-371-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 BELMONT RD APT 8",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153249",
            "telephone_number": "937-371-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIETURAKIS",
        "first_name": "ALEXANDER",
        "middle_name": "JAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "316227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.