KSENIA NIKOLAYEVNA BLINNIKOVA MD
NPI 1740646181
Family Medicine in Boston, MA

Q: What is Ksenia Blinnikova's NPI number?

The NPI number for Ksenia Blinnikova is 1740646181. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Ksenia Blinnikova's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ksenia Blinnikova was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 14, 2016PECOS EnrolledAccepts Medicare Assignment

50 STANIFORD ST FL 9, BOSTON, MA 02114(612) 724-6610 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, Nov 12, 2018, Oct 1, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Ksenia Nikolayevna Blinnikova Md NPPES

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

KSENIA NIKOLAYEVNA BLINNIKOVA MD (NPI 1740646181) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (1013709) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1740646181

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKSENIA NIKOLAYEVNA BLINNIKOVACredential: MD

Location Address50 STANIFORD ST FL 9Boston, MA 02114-2506

Mailing Address50 Staniford St Fl 9Boston, MA 02114-2506 · (614) 724-6610

Phone(612) 724-6610

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 14, 2016

Last NPPES UpdateAugust 1, 20234 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1740646181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 1013709

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 37486 (AL), 1013709 (MA)

50 STANIFORD ST FL 9, Boston, MA 02114

Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 11th Ave S Ste 410Birmingham, AL 35205-3423 · Phone (205) 934-9700 · Fax (205) 975-6962

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Ksenia Nikolayevna Blinnikova Md 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 ID1153665575

PECOS Enrollment IDI20230831003275

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 8

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

218 services155 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.

176 services149 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.

141 services101 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

94 services94 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

54 services35 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

23 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220119

Location1153 Centre StreetBoston, MA 02130 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 10

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

DR. SHIVANI K THAKER MD, PHD

Student in an Organized Health Care Education/Training Program