Individual provider Active NPI

Nikolai Alexandrovich Podoltsev, M.D., PH.D.

  • Hematology (Internal Medicine) Physician
  • New Haven, CT
National Provider Identifier
1891731667
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
038990 Issued in CT
Practice address
333 Cedar St
Yale University School of Medicine, Hematology Division
New Haven, CT 06510-3206
Phone
(203) 200-4363
Fax
(203) 785-3788
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038990 CT
Medical Oncology Physician 207RX0202X 038990 CT
Hematology & Oncology Physician 207RH0003X 038990 CT
Hematology (Internal Medicine) Physician 207RH0000X 038990 CT Primary

Addresses

Primary practice location

333 Cedar St
Yale University School of Medicine, Hematology Division
New Haven, CT 06510-3206

Mailing address

PO Box 208032
Yale University School of Medicine, Hematology Division
New Haven, CT 06520-8032
Phone (203) 200-4363

Other identifiers 1

IdentifierTypeStateIssuer
001389908MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070103000551 CT Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology 9931109683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

  • Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038990CTMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2010 Accepting new patients
Yale University Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients
Hospital of Saint Raphael Past Accepting new patients

Locations

659 George St
New Haven, CT 06511
Phone (203) 789-3260

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771

Interoperability endpoints

  • Direct secure messaging: npodoltsev9067@direct.ynhh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1891731667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208032",
            "address_2": "YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208032",
            "telephone_number": "203-200-4363",
            "fax_number": "203-785-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "address_2": "YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-200-4363",
            "fax_number": "203-785-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOLTSEV",
        "first_name": "NIKOLAI",
        "middle_name": "ALEXANDROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038990",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "038990",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "038990",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CT",
            "license": "038990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001389908",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.