Active NPI
Igor Zhuravenko, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1962438598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 210937
- Practice address
- 3048 Brighton 1St St # 6B
Brooklyn, NY 11235-8080 - Phone
- (718) 945-4545
- Fax
- (347) 702-9545
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 210937 | NY | Primary |
Addresses
Primary practice location
3048 Brighton 1St St # 6B
Brooklyn, NY 11235-8080
Mailing address
197 Beach 137 Street
Rockaway Park, NY 11694
Phone (718) 375-1777
Other practice location 1
197 Beach 137th St
Rockaway Park, NY 11694-1329
Phone (718) 375-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01879116 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040319000966 | NY | Practitioner - Internal Medicine | 5294649828 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
197 Beach 137TH St
Rockaway Park, NY 11694-1329
Hospital & facility affiliations
- Girling Health Care of New York
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Group Medical Associates, P.C | Internal Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1962438598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 BEACH 137 STREET",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "11694",
"telephone_number": "718-375-1777",
"fax_number": "718-382-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 BRIGHTON 1ST ST # 6B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358080",
"telephone_number": "718-945-4545",
"fax_number": "347-702-9545"
}
],
"practiceLocations": [
{
"address_1": "197 Beach 137th St",
"address_purpose": "LOCATION",
"city": "Rockaway Park",
"state": "NY",
"postal_code": "116941329",
"country_code": "US",
"telephone_number": "718-375-1777",
"fax_number": "718-382-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHURAVENKO",
"first_name": "IGOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "210937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01879116",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
- 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.