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ALEXANDER PANKRATOV MD
NPI 1316525678
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 30, 2021PECOS Enrolled
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118(617) 638-8000 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2022, Mar 30, 2021 (2 updates tracked since 2021).

About Alexander Pankratov Md NPPES

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

ALEXANDER PANKRATOV MD (NPI 1316525678) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316525678
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER PANKRATOVCredential: MD
Location Address1 BOSTON MEDICAL CTR PL STE 1Boston, MA 02118-2999
Mailing Address1 Boston Medical Ctr Pl Ste 1Boston, MA 02118-2999
Phone(617) 638-8000
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 4, 20222 updates tracked since enumeration
NPPES CertifiedJuly 4, 2022
✔ NPI 1316525678 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.
1 BOSTON MEDICAL CTR PL STE 1, Boston, MA 02118
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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)

Alexander Pankratov Md 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.

BENJAMIN GREBBER
Pediatrics
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. WILFREDO JHOEL JAVIER ROJAS MD
Internal Medicine
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
BRETT S. NOWLAN PA-C
Physician Assistant
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 414-5481
ALI AHMAD SIDDIQUI MD
Radiology (Diagnostic Radiology)
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
RICARLY REGIS
Respiratory Therapist, Registered
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000
LINDA GOUSBY CARC
Peer Specialist
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-5510
YILDIRIM HAN OZDEMIR MD
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 699-4089
MEGHAN BOSHART
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL STE 1
BOSTON, MA 02118
Suffolk County (617) 638-8000

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 Alexander Pankratov's NPI number?

The NPI number for Alexander Pankratov is 1316525678. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Alexander Pankratov located?

Alexander Pankratov practices at 1 Boston Medical Ctr Pl Ste 1, Boston, MA 02118. The listed phone number is (617) 638-8000.

What is Alexander Pankratov's specialty?

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

Is Alexander Pankratov enrolled in Medicare?

Yes. Alexander Pankratov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Pankratov was last updated on July 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.