Steven Andrew Kolenik III, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

033780 Issued in CT

Practice address

761 Main Ave
Suite 102
Norwalk, CT 06851-1080

Phone

(203) 810-4151

Fax

(203) 810-4150

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Yale University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Connecticut Dermatology Group PLLCGroup PAC ID 9032147509, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Connecticut Dermatology Group PLLC

  • Dermatology Physician
  • Norwalk, CT
  • NPI 1699881557
  Medicare reassignment Care Compare group NPD
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662

  CT

  Medicare reassignment NPD
• Citywide Dermatology, PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1124569447
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1649292798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 102",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-810-4151",
            "fax_number": "203-810-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 102",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-810-4151",
            "fax_number": "203-810-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENIK",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "033780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Knox, LMSW
• Vivian Huhn Koda, PH.D.
• Pratistha Koirala, MD PHD
• Carolyn Grace Kokias
• Mary Frances Kokoska, APRN
• Alexander Sandor Koleszar, M.D.
• George Kollie
• Nancy J. Kolodny, L.C.S.W.
• Vladimir Koltchine, MD
• Verdita Komonaj, RDH

• Dermatology Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.