NPIMap

Individual provider Active NPI

Konstantin Timofeev, M.D.

  • Neurology Physician
  • Schenectady, NY
National Provider Identifier
1881853547
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
261239 Issued in NY
Practice address
1101 Nott St
B6 - the Neuroscience Center
Schenectady, NY 12308-2425
Phone
(518) 243-3387
Fax
(518) 831-8100
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 261239 NY Primary

Addresses

Primary practice location

1101 Nott St
B6 - the Neuroscience Center
Schenectady, NY 12308-2425

Mailing address

600 McClellan St
2 West
Schenectady, NY 12304-1009

Other identifiers 1

IdentifierTypeStateIssuer
03388667MedicaidNY

Other names 1

  • Dr. Stan Timofeev Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111102000578 NY Practitioner - Neurology 2264605583 Reassigns benefits to 4 organizations
I20260310003140 PA Practitioner - Neurology 2264605583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

100 John Roemmelt Dr
Suite 300
Horseheads, NY 14845-8304
Phone (607) 795-2892

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Neurology CurrentSince Feb 12, 2024 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Mar 16, 2026 Accepting new patients
Arnot Ogden Medical Center CurrentSince Aug 1, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 16, 2026 Accepting new patients
Arnot Medical Services PLLC CurrentSince Feb 1, 2021 Accepting new patients
Gslpg, Inc CurrentSince Mar 16, 2026 Accepting new patients
Ellis Hospital CurrentSince Sep 1, 2012 Accepting new patients
Albany Medical College Neurology CurrentSince Feb 12, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Feb 12, 2024 Accepting new patients
Arnot Ogden Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
Ellis Hospital Past Accepting new patients
Ellis Hospital PastSince Jan 28, 2024 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

100 John Roemmelt Dr
Ste 300
Horseheads, NY 14845
Phone (607) 739-8701

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

600 McClellan St
#2W
Schenectady, NY 12304

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1101 Nott St
#B6
Schenectady, NY 12308
Phone (518) 243-3387

Interoperability endpoints

  • Direct secure messaging: ktimofeev57099@albanymed.direct-ci.com
  • Direct secure messaging: ktimofeev26544@direct.xtensys.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 12

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1881853547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "address_2": "2 WEST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "B6 - THE NEUROSCIENCE CENTER",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-3387",
            "fax_number": "518-831-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOFEEV",
        "first_name": "KONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "261239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03388667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STAN",
            "last_name": "TIMOFEEV",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.