Vadim Kolesnikov, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

206290-1 Issued in NY

Practice address

2560 Ocean Ave
Brooklyn, NY 11229-4507

Phone

(718) 615-4100

Fax

(718) 615-4111

NPI assigned

Dec 6, 2006

Sex

Male

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 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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Icahn School of Medicine at Mount Sinai, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sinai Diagnostics and Interventional Radiology PCGroup PAC ID 7416846274, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sinai Diagnostics and Interventional Radiology, P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1619096484
  Medicare reassignment Care Compare group Authorized official
• Boro Park Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1790815736
  Medicare reassignment NPD
• Kings Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1588848444
  NPD
• Brooklyn Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1679674253
  NPD (past)
• Hia Bensonhurst Imaging Associates, LLP

  • Radiology Clinic/Center
  • Brooklyn, NY
  • NPI 1407833452
  NPD (past)
• Highway Imaging Associates, LLP

  • Radiology Clinic/Center
  • Brooklyn, NY
  • NPI 1619124963
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871652974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294507",
            "telephone_number": "718-615-4100",
            "fax_number": "718-615-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294507",
            "telephone_number": "718-615-4100",
            "fax_number": "718-615-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOV",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "206290-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neli Koldanov, MD
• Rachel Kolender
• Maeve Helena Kolenik, CCC-SLP
• Erica Koleosho
• Alexander Kolesnikov, MD
• Tatyana Kolesnikova, RN., NP
• Lyubomyra Kolesnyk
• Rita Kolessova
• Pericles Kolias
• Evelyn Athena Kolidas, PH.D.

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.