Valeri I Kazakov, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219298 Issued in NY

Practice address

2190 Boston Rd
Ste 1N
Bronx, NY 10462

Phone

(718) 863-8663

Fax

(718) 863-8261

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Road Medical Practice PCGroup PAC ID 5799675963, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Boston Road Medical Practice PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1306816285
  Medicare reassignment Care Compare group NPD Authorized official
• Oksana Berkovich Medical PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1740241504
  NPD

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

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Gamzel Ny, Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• Visiting Nurse Service of New York Home Care II

  • Home Health Agency
  • New York, NY
  • NPI 1528059805
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487633772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 AMANDA LANE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10804",
            "telephone_number": "718-863-8663",
            "fax_number": "718-863-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 BOSTON RD",
            "address_2": "STE 1N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-863-8663",
            "fax_number": "718-863-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAKOV",
        "first_name": "VALERI",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02182130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simeon Kaymaktchiev
• Kaymiles Transportation LLC
• Kayode Odutayo MD PLLC
• Peggy Kayumba, LPN
• Katherine Kazak, DDS
• Korina Kazan, PHARM.D.
• Jonathan Kazdan, D.C.
• Tonia Afroozeh Kazerani, RD
• Ananna Noor Kazi
• Farnam Kazi, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.