Active NPI
Brian Alex Kuvshinikov, DPM
- Podiatrist
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-003316
- Practice address
- 15 Southmoor Cir NE
Dayton, OH 45429-2451 - Phone
- (937) 293-6896
- Fax
- (937) 293-9150
- NPI assigned
- Jun 16, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-003316 | OH | Primary |
Addresses
Primary practice location
15 Southmoor Cir NE
Dayton, OH 45429-2451
Mailing address
15 Southmoor Cir NE
Dayton, OH 45429-2451
Phone (937) 293-6896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2385066 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166
8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.57 of 100
- Quality
- 58.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 3003 |
| Removal or shaving of skin growth | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-003316 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare LLC | Podiatrist | Current | Accepting new patients |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Onhealthcare LLC | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical Inc | Current | Accepting new patients | |
| Dixie a. Dooley, DPM, Inc. | Past | Accepting new patients | |
| Mobile Medical, Inc. | Podiatrist | Past | Accepting new patients |
Locations
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166
Organizations & group practices 7
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.
-
- Optometrist
- Perrysburg, OH
- NPI 1689620015
-
- Optometrist
- Indianapolis, IN
- NPI 1417220369
-
- Dentist
- Perrysburg, OH
- NPI 1629228572
-
- Social Worker
- Indianapolis, IN
- NPI 1114681681
-
- Podiatrist
- Indianapolis, IN
- NPI 1952677353
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1992715767
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1962407908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SOUTHMOOR CIR NE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292451",
"telephone_number": "937-293-6896",
"fax_number": "937-293-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SOUTHMOOR CIR NE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292451",
"telephone_number": "937-293-6896",
"fax_number": "937-293-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUVSHINIKOV",
"first_name": "BRIAN",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-003316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2385066",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.