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ALEXANDER KISSELGOF LIC. AC.
NPI 1356545735
Acupuncturist in Vineyard Haven, MA

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
20 ELM STREET, VINEYARD HAVEN, MA 02568(508) 693-3060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexander Kisselgof Lic. Ac. NPPES

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

ALEXANDER KISSELGOF LIC. AC. (NPI 1356545735) is an individual acupuncturist in Vineyard Haven, Massachusetts, licensed in Massachusetts (672) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1356545735
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameALEXANDER KISSELGOFCredential: LIC. AC.
Location Address20 ELM STREETVineyard Haven, MA 02568-0933
Mailing AddressPo Box 4351Vineyard Haven, MA 02568-0933 · (508) 693-3060
Phone(508) 693-3060
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356545735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MA · 672
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
20 ELM STREET, Vineyard Haven, MA 02568
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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 and accepts Medicare assignment

Alexander Kisselgof Lic. Ac. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486159035
PECOS Enrollment IDI20250924003656
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.

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 Kisselgof's NPI number?

The NPI number for Alexander Kisselgof is 1356545735. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Alexander Kisselgof located?

Alexander Kisselgof practices at 20 Elm Street, Vineyard Haven, MA 02568. The listed phone number is (508) 693-3060.

What is Alexander Kisselgof's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Alexander Kisselgof enrolled in Medicare?

Yes. Alexander Kisselgof is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexander Kisselgof was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.