Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIKHAIL KONDRATIUK M.D.
NPI 1164367710
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 21, 2026PECOS Enrolled
267 GRANT STREET, BRIDGEPORT HOSPITAL, GME OFFICE, BRIDGEPORT, CT 06610(203) 384-3792(203) 384-4294 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 4, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Mikhail Kondratiuk M.d. NPPES

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

MIKHAIL KONDRATIUK M.D. (NPI 1164367710) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164367710
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMIKHAIL KONDRATIUKCredential: M.D.
Location Address267 GRANT STREET, BRIDGEPORT HOSPITAL, GME OFFICEBridgeport, CT 06610
Mailing Address267 Grant Street, Bridgeport Hospital, Gme OfficeBridgeport, CT 06610 · (203) 384-3792 · Fax (203) 384-4294
Fax(203) 384-4294
Sole ProprietorNo
Enumeration DateApril 21, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1164367710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
267 GRANT STREET, BRIDGEPORT HOSPITAL, Bridgeport, CT 06610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mikhail Kondratiuk 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 3

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

Student in an Organized Health Care Education/Training Program
267 GRANT STREET, BRIDGEPORT HOSPITAL
BRIDGEPORT, CT 06610
Internal Medicine
267 GRANT STREET, BRIDGEPORT HOSPITAL
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, BRIDGEPORT HOSPITAL, GME OFFICE
BRIDGEPORT, CT 06610

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 Mikhail Kondratiuk's NPI number?

The NPI number for Mikhail Kondratiuk is 1164367710. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Mikhail Kondratiuk located?

Mikhail Kondratiuk practices at 267 Grant Street, Bridgeport Hospital Gme Office, Bridgeport, CT 06610. The listed phone number is (203) 384-3792.

What is Mikhail Kondratiuk's specialty?

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

Is Mikhail Kondratiuk enrolled in Medicare?

Yes. Mikhail Kondratiuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikhail Kondratiuk was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.