Active NPI
Vladimir Krichevsky, M.D.
- Urology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 210390
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099133 | Other | NY | GHI |
| 02067669 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210390 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vladimir P Krichevsky MD PC | Urology | Current | Accepting new patients |
| North Shore Hematology Oncology Associates PC | Current | 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
- 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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Urology Physician
- Brooklyn, NY
- NPI 1639311723
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.