BORIS SKURKOVICH MD
NPI 1558343467
Pediatrics in Providence, RI

Q: What is Boris Skurkovich's NPI number?

The NPI number for Boris Skurkovich is 1558343467. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Boris Skurkovich's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Boris Skurkovich was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 16, 2005PECOS Enrolled

239 CRANSTON ST, PROVIDENCE, RI 02907(401) 444-0580(401) 444-0428 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 5, 2024, Apr 26, 2021, Apr 12, 2019 (3 updates tracked since 2019).

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About Boris Skurkovich Md NPPES

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

BORIS SKURKOVICH MD (NPI 1558343467) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD7319) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558343467

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBORIS SKURKOVICHCredential: MD

Location Address239 CRANSTON STProvidence, RI 02907-2406

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468

Phone(401) 444-0580

Fax(401) 444-0428

Sole ProprietorNo

Enumeration DateNovember 16, 2005

Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2024

✔ NPI 1558343467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in RI · MD7319

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

239 CRANSTON ST, Providence, RI 02907

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boris Skurkovich 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.

Medicare Billing Reassignments

Medicare enrollment records show Boris Skurkovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Providence Community Health Centers, Inc

1.5 mi

Federally Qualified Health Center (FQHC)

375 ALLENS AVE
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
112 clinicians in this Medicare group

NPI 1053313593 (401) 444-0400

Saint Vincent Physician Services, Inc.

36 mi

Family Medicine

123 SUMMER ST STE 279
Worcester, MA 01608

Reassigned Medicare billing, Massachusetts enrollment
197 clinicians in this Medicare group

NPI 1013997329 (508) 363-6040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02907 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 19

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

SIGNE L. CHRISTENSEN RN, CDOE

Registered Nurse (Diabetes Educator)