MR. IVAN KUZNETSOV MD, PHD
NPI 1972207421
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Mr. Ivan Kuznetsov Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. IVAN KUZNETSOV MD, PHD (NPI 1972207421) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ivan Kuznetsov Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Ivan Kuznetsov's NPI number?
The NPI number for Ivan Kuznetsov is 1972207421. It was assigned to this individual provider in the NPPES registry on March 29, 2023.
Where is Ivan Kuznetsov located?
Ivan Kuznetsov practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (267) 758-4902.
What is Ivan Kuznetsov's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ivan Kuznetsov enrolled in Medicare?
Yes. Ivan Kuznetsov is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ivan Kuznetsov was last updated on March 29, 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.
# Mr. Ivan Kuznetsov, MD, PHD · NPI 1972207421
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2023.
## Identity
- **NPI:** 1972207421 (Entity type: Individual)
- **Enumerated:** March 29, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (267) 758-4902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972207421) · Data from the CMS NPPES public registry.