Individual provider Active NPI

Yevgeny Litvak, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1871513432
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
199897 Issued in NY
Practice address
1460 W 5TH St
Suite M1
Brooklyn, NY 11204-4071
Phone
(718) 234-2233
Fax
(718) 234-2227
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 199897 NY Primary

Addresses

Primary practice location

1460 W 5TH St
Suite M1
Brooklyn, NY 11204-4071

Mailing address

1460 W 5TH St
Suite M1
Brooklyn, NY 11204-4071
Phone (718) 234-2233

Other identifiers 1

IdentifierTypeStateIssuer
01909397MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040505001763 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4688662786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yevgeny Litvak Medical PLLCGroup PAC ID 7911045364, 2 clinicians

Practice addresses (Care Compare)

1460 W 5TH St
Suite M1
Brooklyn, NY 11204-4071
Phone (718) 234-2233

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199897NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yevgeny Litvak Medical PLLC Gastroenterology CurrentSince Sep 1, 2009 Accepting new patients
A Merryland Operating LLC Past Accepting new patients
Mermaid Management Inc PastSince Jun 1, 2011 Accepting new patients

Locations

1460 W 5th St
Ste M1
Brooklyn, NY 11204
Phone (718) 234-2233

7 Lexington Ave
Rm 1A
New York, NY 10010
Phone (212) 420-0104

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1871513432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST",
            "address_2": "SUITE M1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071",
            "telephone_number": "718-234-2233",
            "fax_number": "718-234-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST",
            "address_2": "SUITE M1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071",
            "telephone_number": "718-234-2233",
            "fax_number": "718-234-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVAK",
        "first_name": "YEVGENY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "199897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.