Bella Balar Kichikov

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344248 Issued in NY

Practice address

1797 Pitkin Ave
Brooklyn, NY 11212-7841

Phone

(718) 367-2555

NPI assigned

May 21, 2020

Last updated

Aug 13, 2020By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: bkichikov1456062@nychhc.direct-ci.com

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.

• Medical Care for You PC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1659906667
  Medicare reassignment NPD
• Doral Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1558051482
  NPD (past)
• Excel Medical PC

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1003005083
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1912520149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127841",
            "telephone_number": "718-367-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICHIKOV",
        "first_name": "BELLA BALAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Kiani
• Serge Kianovski, D.P.T.
• Irina Kiblitsky, M.D.
• Ayelech Agune Kibret, MD
• Svetlana Kibrik, PT
• Kishtya Kichikov
• Kid Speech Language Pathology P.C.
• Kidault Kar LLC
• Kidcare Associates, Inc.
• Kiddie City ABA Center

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.