NELLIE KONNIKOV MD
NPI 1376646638
Dermatology - Procedural Dermatology in Boston, MA

Q: What is Nellie Konnikov's NPI number?

The NPI number for Nellie Konnikov is 1376646638. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Q: What is Nellie Konnikov's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: When was this NPI record last updated?

The NPPES record for Nellie Konnikov was last updated on July 21, 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.

Active since September 05, 2006PECOS Enrolled

150 S HUNGTINGTON AVE, BOSTON, MA 02130(857) 364-4757(857) 364-6604 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Nellie Konnikov Md NPPES

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

NELLIE KONNIKOV MD (NPI 1376646638) is an individual procedural dermatology provider in Boston, Massachusetts, licensed in Massachusetts (50447) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376646638

Entity TypeIndividualFemale

Primary Taxonomy207NS0135X

Provider Legal NameNELLIE KONNIKOVCredential: MD

Location Address150 S HUNGTINGTON AVEBoston, MA 02130

Mailing Address150 S Hungtington StBoston, MA 02130 · (857) 364-4757 · Fax (857) 364-6604

Phone(857) 364-4757

Fax(857) 364-6604

Sole ProprietorNo

Enumeration DateSeptember 5, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1376646638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in MA · 50447

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Also ListedDermatologyTaxonomy 207N00000X

150 S HUNGTINGTON AVE, Boston, MA 02130

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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)

Nellie Konnikov 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nellie Konnikov's NPI number?

The NPI number for Nellie Konnikov is 1376646638. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Nellie Konnikov located?

Nellie Konnikov practices at 150 S Hungtington Ave, Boston, MA 02130. The listed phone number is (857) 364-4757.

What is Nellie Konnikov's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Nellie Konnikov enrolled in Medicare?

Yes. Nellie Konnikov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nellie Konnikov was last updated on July 21, 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.