NPIMap

Individual provider Active NPI

Vladimir Jelnov, MD

  • Psychiatry Physician
  • Laconia, NH
National Provider Identifier
1801089115
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14655 Issued in NH
Practice address
40 Beacon Street East
Laconia, NH 03246-3437
Phone
(603) 524-1100
Fax
(603) 528-0760
NPI assigned
Aug 20, 2007
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14655 NH Primary

Addresses

Primary practice location

40 Beacon Street East
Laconia, NH 03246-3437

Mailing address

40 Beacon Street East
Laconia, NH 03246-3437
Phone (603) 524-1100

Other identifiers 1

IdentifierTypeStateIssuer
3082440MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000279 NH Practitioner - Psychiatry 9234226028 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
The Lakes Region Mental Health Center, IncGroup PAC ID 7911957964, 21 clinicians

Practice addresses (Care Compare)

15 Aiken Ave
Franklin, NH 03235-1259
Phone (603) 934-4249

40 Beacon St E
Laconia, NH 03246-3437
Phone (603) 524-1100

81 Highland St
Plymouth, NH 03264-1249
Phone (603) 524-1100

85 Spring St
Laconia, NH 03246-3113
Phone (603) 524-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14655NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia CurrentSince May 1, 2021 Accepting new patients
Speare Memorial Hospital CurrentSince Oct 17, 2021 Accepting new patients
Speare Memorial Hospital CurrentSince Oct 17, 2021 Accepting new patients
Lrghealthcare CurrentSince Jun 22, 2015 Accepting new patients
The Lakes Region Mental Health Center, Inc. CurrentSince Jan 1, 2010 Accepting new patients
New York Psychiatric Services, P.C. Psychiatry PastSince May 1, 2000 Accepting new patients
Concord Hospital-Franklin Past Accepting new patients
Healthfirst Family Care Center, Inc. Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Slp Evaluation
Gilford, NH 03249
Phone (603) 737-6755

111 Church St
Laconia, NH 03246
Phone (603) 934-1464

40 Beacon St E
Laconia, NH 03246

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1801089115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACON STREET EAST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100",
            "fax_number": "603-528-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACON STREET EAST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "603-524-1100",
            "fax_number": "603-528-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELNOV",
        "first_name": "VLADIMIR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "14655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082440",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.