Boris Bludoy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225883 Issued in NY

Practice address

105 Oriental Blvd Ste 1
Brooklyn, NY 11235-4124

Phone

(718) 646-7174

Fax

(718) 332-0327

NPI assigned

Jun 24, 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

Other names 1

• Boris Mikhaylovich Blyudoy Former name

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196
• Seagate Rehabilitation And Nursing Center Nursing home, Brooklyn, NY, CCN 335513

Merit-based Incentive Payment System (MIPS)

Final score

81.96 of 100Reported as individual

Quality

56.7

Improvement activities

40

Cost

64.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Menorah Home & Hospital for the Aged & Infirm

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1922004860
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1124032982

  Internal Medicine

  NPD (past)
• Shorefront Operating LLC

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1801206156
  NPD (past)

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

• Gamzel Ny, Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1124032982
  Care Compare affiliation
• Shining Star Home Care, LLC.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1205128147
  Care Compare affiliation
• Shorefront Operating LLC

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1801206156

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528094133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 GILBERT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813125",
            "telephone_number": "347-249-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ORIENTAL BLVD STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354124",
            "telephone_number": "718-646-7174",
            "fax_number": "718-332-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUDOY",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02323811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BORIS",
            "last_name": "BLYUDOY",
            "middle_name": "MIKHAYLOVICH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johanne Blount, NP
• Kquian Blount, LPN
• Shavaughn Blount
• Kailey Blowe, RN
• BLP Transportation of Ny Corp.
• Blue Cloud, Inc.
• Blue Door ABA
• Blue Green Creative Arts Therapy, PLLC
• Blue Green Horizons Office Based Surgery PLLC
• Blue Line Agency LLC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, 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.