Active NPI
Kirill Zaslavsky
- Ophthalmology Physician
- Boston, MA
National Provider Identifier
1932937414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 3015902
- Practice address
- 243 Charles St FL 3
Boston, MA 02114-3096 - Phone
- (617) 573-6917
- NPI assigned
- Jul 25, 2024
- Last updated
- Oct 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 3015902 | MA | Primary |
Addresses
Primary practice location
243 Charles St FL 3
Boston, MA 02114-3096
Mailing address
243 Charles St FL 3
Boston, MA 02114-3096
Phone (617) 573-6917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114001845 | MA | Practitioner - Ophthalmology | 8022542976 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015902 | MA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1932937414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES ST FL 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES ST FL 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZASLAVSKY",
"first_name": "KIRILL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-25",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "3015902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.