NPIMap

Individual provider Active NPI

Olga N Kozyreva, M.D.

  • Hematology (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1487758348
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
230270 Issued in MA
Practice address
736 Cambrige Street
Boston, MA 02135
Phone
(617) 789-2903
Fax
(617) 789-2064
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230270 MA
Medical Oncology Physician 207RX0202X 230270 MA
Hematology (Internal Medicine) Physician 207RH0000X 230270 MA Primary

Addresses

Primary practice location

736 Cambrige Street
Boston, MA 02135

Mailing address

736 Cambrige Street
Boston, MA 02135
Phone (617) 789-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000156 MA Practitioner - HematologyPractitioner - Internal MedicinePractitioner - Medical OncologyPractitioner - Other (Physician) 7517040728 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Medical Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3000

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • First Choice Healthcare Inc Hospice, Newton, MA, CCN 221605
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince May 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince May 1, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Dana-Farber Cancer Institute, Inc. Medical Oncology CurrentSince May 1, 2014 Accepting new patients
Carney Medical Group Past Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Fl 5
Brighton, MA 02135
Phone (617) 562-7007

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: kozyreva.olga.dfci@direct.partners.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
First Choice Healthcare, Inc.Newton, MA, CCN 221605 Hospice W-2 Managing Employee Jul 5, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1487758348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIGE STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-789-2903",
            "fax_number": "617-789-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIGE STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-789-2903",
            "fax_number": "617-789-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZYREVA",
        "first_name": "OLGA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230270",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "230270",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MA",
            "license": "230270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.