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DMITRY KOZHEVNIKOV D.O
NPI 1689084600
Internal Medicine in New Haven, CT

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK STREET, YNHH HOSPICE & PALLIATIVE CARE, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

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

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 and 1 more (4 updates tracked since 2017).

About Dmitry Kozhevnikov D.o NPPES

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

DMITRY KOZHEVNIKOV D.O (NPI 1689084600) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (56491) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of West Virginia School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1689084600
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDMITRY KOZHEVNIKOVCredential: D.O
Location Address20 YORK STREET, YNHH HOSPICE & PALLIATIVE CARENew Haven, CT 06510-3220
Mailing Address20 York Street, Ynhh - Hospice & Palliative MedicineNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014
Enumeration DateApril 29, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1689084600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 56491
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20 YORK STREET, New Haven, CT 06510
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Secondary Practice Location 1

Location 1100 E 77th StNew York, NY 10075-1850 · Phone (212) 434-2422

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

Dmitry Kozhevnikov D.o 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 ID1658643077
PECOS Enrollment IDI20171120001174
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

SARAH HILL LCSW
Social Worker (Clinical)
20 YORK STREET, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9907
JENNIFER PALERMO MD
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
TASHA LEE CUVI APRN
Nurse Practitioner (Gerontology)
20 YORK STREET, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
NIKHIL SEVAL M.D.
Internal Medicine
20 YORK STREET, YNHH - IM INFECTIOUS DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
JESSICA LAUREN DOLMAN MD
Hospitalist
20 YORK STREET, YNHH DEPT OF INTERNAL MEDICINE
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
EESHA VIJAYKUMAR NATARAJAN MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
NIRANJANA RAMANI MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
MRS. SHARON MOALES LCSW
Social Worker (Clinical)
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5193

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 Dmitry Kozhevnikov's NPI number?

The NPI number for Dmitry Kozhevnikov is 1689084600. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Dmitry Kozhevnikov located?

Dmitry Kozhevnikov practices at 20 York Street Ynhh Hospice & Palliative Care, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Dmitry Kozhevnikov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dmitry Kozhevnikov enrolled in Medicare?

Yes. Dmitry Kozhevnikov 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 Dmitry Kozhevnikov 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.