Active NPI
Yekaterina A Kashtanova, MD
- Nephrology Physician
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 238607
- Practice address
- 1450 Champlin Ave
Utica, NY 13502-3662 - Phone
- (315) 624-9000
- Fax
- (315) 624-9003
- NPI assigned
- May 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 238607 | NY | Primary |
Addresses
Primary practice location
1450 Champlin Ave
Utica, NY 13502-3662
Mailing address
PO Box 602
New Hartford, NY 13413-0602
Phone (315) 624-8100
Other practice location 1
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 624-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02881107 | 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
- Nephrology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Champlin Ave
Utica, NY 13502-3662
Phone (315) 624-9000
Hospital & facility affiliations
- Usrc Masonic Care Community Dialysis
- Usrc Faxton Dialysis
- Usrc St Luke Inc Dialysis
- Wynn Hospital
- Oneida Health Hospital
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 |
|---|---|---|---|
| 238607 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney and Hypertension Consultant, PLLC | Nephrology | Current | Accepting new patients |
Locations
10 Eaton St
Hamilton, NY 13346
Phone (315) 750-9693
201 E State St
Herkimer, NY 13350
Phone (315) 574-0026
7785 N State St
Lowville, NY 13367
Phone (315) 376-5102
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
54 E Main St
Ste 6A
Norwich, NY 13815
Phone (607) 334-6861
131 Main St
Oneida, NY 13421
Phone (315) 366-0360
2142 Glenwood Shopping Plz
Oneida, NY 13421
Phone (315) 363-1393
91 Perimeter Rd
Rome, NY 13441
Phone (315) 334-4786
117 Erie Blvd W
Rome, NY 13440
Phone (315) 306-3337
111 E Chestnut St
Rome, NY 13440
Phone (315) 337-8584
1500 N James St
Rome, NY 13440
Phone (315) 338-7000
1450 Champlin Ave
Utica, NY 13502
Phone (315) 624-8100
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2150 Bleecker St
Utica, NY 13501
Phone (315) 798-4800
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
Interoperability endpoints
- ykashtanova16845@mvhealthsystem.direct-ci.com
- yekaterinakashtanovamd@mvmp.medentdirect.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- Utica, NY
- NPI 1699796623
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Utica, NY
- NPI 1336881713
Dialysis facility
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1669692638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134130602",
"telephone_number": "315-624-8100",
"fax_number": "315-624-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135023662",
"telephone_number": "315-624-9000",
"fax_number": "315-624-9003"
}
],
"practiceLocations": [
{
"address_1": "1676 Sunset Ave",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135025416",
"country_code": "US",
"telephone_number": "315-624-8100",
"fax_number": "315-624-8105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASHTANOVA",
"first_name": "YEKATERINA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "238607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02881107",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.