Individual provider Active NPI

Anna Kurayev

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1952716177
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
268549 Issued in MA
Practice address
260 Tremont Street, Biewend BLD.,
14TH Floor, Dermatology Department
Boston, MA 02116
Phone
(347) 755-8488
NPI assigned
Jun 26, 2014
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 268549 MA Primary

Addresses

Primary practice location

260 Tremont Street, Biewend BLD.,
14TH Floor, Dermatology Department
Boston, MA 02116

Mailing address

8371 116TH St
Apt.6E
Richmond Hill, NY 11418-3448
Phone (718) 849-0262

Other identifiers 1

IdentifierTypeStateIssuer
1952716177MedicaidMA

Other names 1

  • Anna Obruchnikova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230203000035 FL Practitioner - Dermatology 3870965759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siperstein Dermatology Group PLLCGroup PAC ID 3476683145, 18 clinicians

Practice addresses (Care Compare)

9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400
Phone 5613647774327

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
93.58
Promoting interoperability
100
Improvement activities
40
Cost
79.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions2052
Removal or shaving of skin growth16
Skin biopsy372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268549MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siperstein Dermatology Group, PLLC Dermatology CurrentSince Dec 1, 2022 Accepting new patients
Synergy Dermatology LLC Dermatology PastSince Dec 1, 2022 Accepting new patients

Locations

1401 N Federal Hwy
Boca Raton, FL 33432
Phone 5613647774 ext. 327

950 Glades Rd
Fl 4
Boca Raton, FL 33431
Phone (561) 750-8666

9897 Hagen Ranch Rd
Boynton Beach, FL 33437
Phone (561) 364-7774

Interoperability endpoints

  • Direct secure messaging: akurayev@siperstein.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1952716177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "APT.6E",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-849-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TREMONT STREET, BIEWEND BLD.,",
            "address_2": "14TH FLOOR, DERMATOLOGY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "347-755-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAYEV",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "268549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952716177",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "OBRUCHNIKOVA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.