Alla Kolkin, M.D02

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-076603 Issued in OH

Practice address

3461 Warrensville Center Rd
Suite 207
Shaker Heights, OH 44122-5260

Phone

(216) 751-1900

Fax

(216) 751-1970

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: akolkinmd31890@direct.ccf.org
• Direct secure messaging: akolkin36080@ehrdirect.uhhospitals.org

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.

• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1851403596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 207",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225260",
            "telephone_number": "216-751-1900",
            "fax_number": "216-751-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 207",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225260",
            "telephone_number": "216-751-1900",
            "fax_number": "216-751-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKIN",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "M.D02",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-076603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2170341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa L Knight, LPN
• James Michael Koch, M.D.
• Jessica L Koch, LPC
• Abigail Koerwitz
• Sarah Kohlmorgan
• Mark Komforti, DMD
• Yaroslav Kondouch
• Danelle Erin Koppes, NP
• Gretchen Emily Kreider, M.S., CCC-SLP
• Heather Krijt

• Pediatrics Physician in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.