Igor Genov, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

259457 Issued in NY

Practice address

711 Troy Schenectady Rd
Suite 201
Latham, NY 12110-2442

Phone

(518) 782-3700

Fax

(518) 782-3799

NPI assigned

Aug 6, 2008

Last updated

Mar 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
• HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment Care Compare group NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1104205046
  Medicare reassignment NPD
• Florida United Radiology LC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1407809395
  NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1427437367
  NPD
• Community Care Physicians, PC

  dba Community Care Lab Care

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1023380714
  NPD (past)
• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370

  Diagnostic Radiology

  NPD (past)
• Jupiter Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Jupiter, FL
  • NPI 1932156767
  NPD (past)
• Sheridan Radiology Services of South Florida, Inc.

  • Diagnostic Radiology Physician
  • Delray Beach, FL
  • NPI 1346598588
  NPD (past)

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

• HCA Health Services of Florida, Inc.

  dba HCA Florida St. Lucie Hospital

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• Lawnwood Medical Center Inc

  dba HCA Florida Lawnwood Hospital

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Northwest Medical Center Inc

  dba HCA Florida Northwest Hospital

  • General Acute Care Hospital
  • Margate, FL
  • NPI 1063466563
  Care Compare affiliation
• Palms West Hospital Limited Partnership

  dba HCA Florida Palms West Hospital

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1710143011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOV",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "259457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03290273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Chris Garneau
• Wendy Gaughan, OTR
• Jenna Gazzillo, MHC
• Nicole Geary
• Danielle Gecewicz
• Brian Matthew Gentile, LMHC, CRC
• Geo Medicab Inc
• Emily Anne Gergen, MSED
• Tigran Ghazaryan
• Maha Ghorayeb, FNP-BC

• Diagnostic Radiology Physician in Latham, NY
• Providers in Latham, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.