Andrey Kolesnikov, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

287701 Issued in NY

Practice address

586 Midland Ave Ste 1B
Staten Island, NY 10306-5901

Phone

(465) 987-7916

Fax

(646) 437-5457

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Doctor Milena Kolesnikova PCGroup PAC ID 1254748320, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: andreykolesnikov@mai.allscriptsdirect.net

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.

• Medical Doctor Milena Kolesnikova PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700404720
  Medicare reassignment Care Compare group NPD
• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975

  Pediatrics

  Medicare reassignment NPD
• Kolesnikov Pediatrics PLLC

  • Clinic/Center
  • Jenkins, KY
  • NPI 1467968834
  NPD Authorized official
• Amboy Medical Practice PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1104692672
  NPD
• DP Radiology Imaging PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1417790098
  NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1740389154
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1962661538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MIDLAND AVE STE 1B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065901",
            "telephone_number": "465-987-7916",
            "fax_number": "646-437-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MIDLAND AVE STE 1B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065901",
            "telephone_number": "465-987-7916",
            "fax_number": "646-437-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOV",
        "first_name": "ANDREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "287701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "287701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toluwalase Kolade
• Zachary David Kolansky, MD
• Amijet Kolari, PA
• Suma Kolenovic, LMSW
• Shannen Kolesar, MS, OTR/L
• Milena Kolesnikova
• Madhavi Latha Kolla, MD
• Kathleen Koller, MHC-LP
• Eliza Kollie I
• Karishma Kollipara, D.O

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.

Verify at the official NPI Registry.