Individual provider Active NPI

Anna Filova, MD

  • Addiction Psychiatry Physician
  • New York, NY
National Provider Identifier
1487606141
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
219098 Issued in NY
Practice address
17 E 97TH St Apt 1C
New York, NY 10029-6968
Phone
(646) 734-6770
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 219098 NY Primary

Addresses

Primary practice location

17 E 97TH St Apt 1C
New York, NY 10029-6968

Mailing address

17 E 97TH St # 1a-C
New York, NY 10029-6926
Phone (646) 734-6770

Other identifiers 1

IdentifierTypeStateIssuer
02360236MedicaidNY

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
I20040719000325 NY Practitioner - Psychiatry 9133108558 Practice locations: Harrison, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 E 97TH St
Suite 1a C
New York, NY 10029-6926
Phone (646) 734-6770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219098NYMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1487606141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E 97TH ST # 1A-C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296926",
            "telephone_number": "646-734-6770",
            "fax_number": "646-328-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 97TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296968",
            "telephone_number": "646-734-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILOVA",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "219098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02360236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.