Active NPI
Boris M. Krivitsky, DO
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 200400535
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 351-3791
- NPI assigned
- Jan 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200400535 | NC | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 200400535 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Other practice location 2
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720
Other practice location 3
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
Other practice location 4
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-6070
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | bkrivitsky136596@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1225 Harding PL
Charlotte, NC 28204-2826
1237 Harding PL
Charlotte, NC 28204-2826
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400535 | NC | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Internal Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
1225 Harding Pl
Ste 1100
Charlotte, NC 28204
Phone (704) 468-3400
Interoperability endpoints
- bkrivitsky136596@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 12
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.
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Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
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- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1962551986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-351-3791"
}
],
"practiceLocations": [
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-0720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10628 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108407",
"country_code": "US",
"telephone_number": "704-667-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Vail Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071248",
"country_code": "US",
"telephone_number": "704-304-6070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRIVITSKY",
"first_name": "BORIS",
"middle_name": "M.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200400535",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NC",
"license": "200400535",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkrivitsky136596@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1000 Blythe Blvd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.