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MAKSIM ISACHANKA M.D.
NPI 1114610276
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 02, 2023PECOS Enrolled
736 CAMBRIDGE STREET, MOB SUITE 308, BOSTON, MA 02135(617) 779-6342 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Maksim Isachanka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKSIM ISACHANKA M.D. (NPI 1114610276) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114610276
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAKSIM ISACHANKACredential: M.D.
Location Address736 CAMBRIDGE STREET, MOB SUITE 308Boston, MA 02135
Mailing Address736 Cambridge Street, Mob Suite 308Boston, MA 02135 · (617) 779-6342
Phone(617) 779-6342
Sole ProprietorYes
Enumeration DateJune 2, 2023
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1114610276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
736 CAMBRIDGE STREET, Boston, MA 02135
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maksim Isachanka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCA M BIGATELLO MD
Anesthesiology
736 CAMBRIDGE STREET
BOSTON, MA 02135
Suffolk County (617) 789-2782
MR. MINH QUANG THUAN TRAN M.D.
Internal Medicine
736 CAMBRIDGE STREET
BOSTON, MA 02135
Suffolk County (617) 789-3000
MS. SHARON M. KADEN PA
Physician Assistant
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 632-6464
OGHOSA CLINTON IBUDE M.D.
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE STREET
BOSTON, MA 02135
Suffolk County (617) 779-6342
DR. ANDREW L STERNLICHT
Anesthesiology
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 789-2782
NANCY ADAMS WIMS
Physical Therapist
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
DR. DANIEL ISAIAH GREENE M.D.
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE STREET, CARITAS ST. ELIZABETH'S MEDICAL CENTER
BOSTON, MA 02135
Suffolk County (617) 789-3070
CSEMC
General Acute Care Hospital
736 CAMBRIDGE STREET
BRIGHTON, MA 02135
Suffolk County (617) 789-3258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maksim Isachanka's NPI number?

The NPI number for Maksim Isachanka is 1114610276. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Maksim Isachanka located?

Maksim Isachanka practices at 736 Cambridge Street Mob Suite 308, Boston, MA 02135. The listed phone number is (617) 779-6342.

What is Maksim Isachanka's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maksim Isachanka enrolled in Medicare?

Yes. Maksim Isachanka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maksim Isachanka was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.