Boris Medvedovsky, D O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS17090 Issued in FL

Practice address

1921 Waldemere St Ste 814
Sarasota, FL 34239-2913

Phone

(941) 953-9080

Fax

(941) 548-1338

NPI assigned

Jun 6, 2008

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 1, 2023 through May 1, 2027

Specialty

Nephrology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mastercare Physical Therapy IncGroup PAC ID 6103073499, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
• Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Inn at Sarasota Bay Club Nursing home, Sarasota, FL, CCN 106035

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Mastercare Physical Therapy, Inc

  • Health Service Clinic/Center
  • Sarasota, FL
  • NPI 1346377892
  Care Compare group
• Lerner Cohen Healthcare

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1134278088
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulf Coast Health Care, Inc.

  • Skilled Nursing Facility
  • Sarasota, FL
  • NPI 1023090453

  Nursing home

  Care Compare affiliation
• KB Health Solutions, LLC

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1659675106
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation
• Trilogy Home Healthcare of SW FL, Inc.

  • Home Health Agency
  • Sarasota, FL
  • NPI 1073751780
  Care Compare affiliation

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1689833303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST STE 814",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392913",
            "telephone_number": "941-953-9080",
            "fax_number": "941-548-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST STE 814",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392913",
            "telephone_number": "941-953-9080",
            "fax_number": "941-548-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVEDOVSKY",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "D O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mediserv Infusion LLC
• Mediserv Pharmacy Services LLC
• Medox Corporation
• Medpeds Associates of Sarasota
• Medshift Now LLC
• Amy Meeker, AP, DOM
• Maria Ventura Meesit
• Priya Meghat, DPT
• Christina Marie Mehriary, MD
• Weihua Mei

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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; Opt Out Affidavits.
• 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.