Individual provider Active NPI

Vladimir Krichevsky, M.D.

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1619931359
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
210390 Issued in NY
Practice address
8712 4TH Ave
Brooklyn, NY 11209-5110
Phone
(718) 680-1600
Fax
(718) 680-4473
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 210390 NY Primary

Addresses

Primary practice location

8712 4TH Ave
Brooklyn, NY 11209-5110

Mailing address

8712 4TH Ave
Brooklyn, NY 11209-5110
Phone (718) 680-1600

Other identifiers 2

IdentifierTypeStateIssuer
1099133OtherNYGHI
02067669MedicaidNY

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
I20050811000586 NY Practitioner - Urology 6002845856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

1 Delaware Dr
Suite 101
New Hyde Park, NY 11042-1116
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210390NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vladimir P Krichevsky MD PC Urology CurrentSince Jan 2, 2009 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Oct 1, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
LMC Physician Services, PC Urology Past Accepting new patients

Locations

517 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 934-5559

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Interoperability endpoints

  • Direct secure messaging: vladimirkrichevsky@mai.allscriptsdirect.net

Organizations & group practices 4

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 2

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1619931359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095110",
            "telephone_number": "718-680-1600",
            "fax_number": "718-680-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095110",
            "telephone_number": "718-680-1600",
            "fax_number": "718-680-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICHEVSKY",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "210390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1099133",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02067669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.