Active NPI
Victor L Tulchinsky, DO
- Family Medicine Physician
- Albany, NY
National Provider Identifier
1720072952
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 235030
- Practice address
- 255 Lark St
Albany, NY 12210-1108 - Phone
- (518) 482-1570
- Fax
- (518) 482-5051
- NPI assigned
- Sep 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 235030 | NY | Primary |
Addresses
Primary practice location
255 Lark St
Albany, NY 12210-1108
Mailing address
255 Lark St
Albany, NY 12210-1108
Phone (518) 482-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235030 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Medical PC | Past | Accepting new patients | |
| Boris Ovodenko MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCHIAD
Organizations & group practices 2
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
- Brooklyn, NY
- NPI 1841591989
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1538153762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1720072952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 LARK ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101108",
"telephone_number": "518-482-1570",
"fax_number": "518-482-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LARK ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101108",
"telephone_number": "518-482-1570",
"fax_number": "518-482-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULCHINSKY",
"first_name": "VICTOR",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "235030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.