Active NPI
Tsontcho Alexandrov Ianchulev, M.D. MPH
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2817821
- Practice address
- 310 E 14TH St Ste 319
New York, NY 10003-4284 - Phone
- (617) 216-4369
- Fax
- (332) 237-5156
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2817821 | NY | |
| Internal Medicine Physician | 207R00000X | 2817821 | NY | Primary |
Addresses
Primary practice location
310 E 14TH St Ste 319
New York, NY 10003-4284
Mailing address
310 E 14TH St Ste 319
New York, NY 10003-4284
Phone (617) 216-4369
Other practice location 1
151 E Post Rd Ste 111
White Plains, NY 10601-5209
Phone (617) 216-4369
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
- Ophthalmology
- Education
- Harvard Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2817821 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Gary L. Aguilar, M.D. Inc. | Multi-Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Past | Accepting new patients |
Locations
711 Van Ness Ave
Ste 310
San Francisco, CA 94102
Phone (415) 421-8667
909 Hyde St
Ste 530
San Francisco, CA 94109
Phone (415) 775-3392
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
310 E 14th St
Ste 319
New York, NY 10003
Phone (212) 979-4500
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- New York City, NY
- NPI 1245251222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1629046131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E 14TH ST STE 319",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034284",
"telephone_number": "617-216-4369",
"fax_number": "332-237-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 14TH ST STE 319",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034284",
"telephone_number": "617-216-4369",
"fax_number": "332-237-5156"
}
],
"practiceLocations": [
{
"address_1": "151 E Post Rd Ste 111",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106015209",
"country_code": "US",
"telephone_number": "617-216-4369",
"fax_number": "323-237-5156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IANCHULEV",
"first_name": "TSONTCHO",
"middle_name": "ALEXANDROV",
"name_prefix": "Dr.",
"credential": "M.D. MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "2817821",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "2817821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.