Individual provider Active NPI

Irina Kovaleva, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1972537991
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
223507 Issued in NY
Practice address
2952 Brighton 3Rd St
Suite 301
Brooklyn, NY 11235-6897
Phone
(718) 708-4046
Fax
(718) 732-2728
NPI assigned
Jul 10, 2006
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 223507 NY Primary

Addresses

Primary practice location

2952 Brighton 3Rd St
Suite 301
Brooklyn, NY 11235-6897

Mailing address

2952 Brighton 3 Street
Suite 301
Brooklyn, NY 11235-6897
Phone (718) 708-4046

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000912 NY Practitioner - Physical Medicine and Rehabilitation 3173651288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3121 Ocean Ave
Suite 503
Brooklyn, NY 11235-3405
Phone (718) 708-4046

Merit-based Incentive Payment System (MIPS)

Final score
19.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Irina Kovaleva Medical Care PC Physical Medicine & Rehabilitation CurrentSince Sep 14, 2014 Accepting new patients

Locations

2952 Brighton 3rd St
Ste 301
Brooklyn, NY 11235
Phone (718) 232-4100

3121 Ocean Ave
Ste 503
Brooklyn, NY 11235
Phone (718) 708-4046

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: irina.kovaleva@ikmcp-ny.direct.office.nextgen.com

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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1972537991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3 STREET",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356897",
            "telephone_number": "718-708-4046",
            "fax_number": "718-732-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356897",
            "telephone_number": "718-708-4046",
            "fax_number": "718-732-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEVA",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "223507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.