GIORGI DEREVENSKIKH MD
NPI 1467186494
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Giorgi Derevenskikh's NPI number?

The NPI number for Giorgi Derevenskikh is 1467186494. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Q: What is Giorgi Derevenskikh's specialty?

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

Active since July 14, 2022PECOS Enrolled

ONE BROOKDALE PLAZA, BROOKDALE UNIVERSITY HOSPITAL MEDICAL CENTER, BROOKLYN, NY 11212(718) 240-5000(718) 240-6516 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Giorgi Derevenskikh Md NPPES

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

GIORGI DEREVENSKIKH MD (NPI 1467186494) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467186494

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGIORGI DEREVENSKIKHCredential: MD

Location AddressONE BROOKDALE PLAZA, BROOKDALE UNIVERSITY HOSPITAL MEDICAL CENTERBrooklyn, NY 11212-3139

Mailing AddressOne Brookdale Plaza, Brookdale University Hospital Medical CenterBrooklyn, NY 11212-3139 · (718) 240-5000 · Fax (718) 240-6516

Phone(718) 240-5000

Fax(718) 240-6516

Sole ProprietorYes

Enumeration DateJuly 14, 2022

NPPES CertifiedJuly 5, 2022

✔ NPI 1467186494 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.

ONE BROOKDALE PLAZA, Brooklyn, NY 11212

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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)

Giorgi Derevenskikh 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.

GARY SETH FRIEDMAN MD

Psychiatry & Neurology (Neurology)

ONE BROOKDALE PLAZA, OBH PHYSICIAN ENTERPRISE
BROOKLYN, NY 11212

Kings County (718) 240-5622

CHARLES BIGAJER & ROBERT S TRACER MD PLLC

Internal Medicine (Gastroenterology)

ONE BROOKDALE PLAZA, ROOM 323 KATZ
BROOKLYN, NY 11212

Kings County (718) 240-6385

NEHA MODI MD

Student in an Organized Health Care Education/Training Program

ONE BROOKDALE PLAZA, SURGERY EDUCATION/DEPARTMENT OF SURGERY
BROOKLYN, NY 11212

Kings County (718) 240-5000

MUHAMMAD AZHAR MD

Internal Medicine (Nephrology)

ONE BROOKDALE PLAZA, BROOKDALE MEDICAL CENTER
BROOKLYN, NY 11212

Kings County (347) 951-4328

MR. TIMOTHY SUTTON PA

Physician Assistant

ONE BROOKDALE PLAZA, BROOKDALE HOSPITAL MEDICAL CENTER
BROOKLYN, NY 11212

Kings County (718) 240-5363

PAUL B HASER MD

Surgery (Vascular Surgery)

ONE BROOKDALE PLAZA, DIVISION OF VASCULAR SURGERY (CHC 214)
BROOKLYN, NY 11212

Kings County (718) 240-5751

DR. FREDERICK GREENSTEIN M.D.

Urology

ONE BROOKDALE PLAZA, MEN'S HEALTH - SUITE 500
BROOKLYN, NY 11212

Kings County (718) 240-8672

JATENDER KUMAR MD

Student in an Organized Health Care Education/Training Program

ONE BROOKDALE PLAZA
BROOKLYN, NY 11212

Kings County (718) 240-6205

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 Giorgi Derevenskikh's NPI number?

The NPI number for Giorgi Derevenskikh is 1467186494. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Giorgi Derevenskikh located?

Giorgi Derevenskikh practices at One Brookdale Plaza Brookdale University Hospital Medical Center, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.

What is Giorgi Derevenskikh's specialty?

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

Is Giorgi Derevenskikh enrolled in Medicare?

Yes. Giorgi Derevenskikh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Giorgi Derevenskikh was last updated on July 14, 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.