DR. BORIS MEDAROV MD NPI 1720055098

NPI Information

  • NPI: 1720055098
  • Provider Name: DR. BORIS MEDAROV, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 47 NEW SCOTLAND AVE # A-91
    ALBANY, NY
    ZIP 12208
  • Phone: (518) 262-5196

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NPI Details

DR. Boris Medarov, MD is a pulmonary disease internal medicine in Albany, NY with 28 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Boris Medarov, MD NPI is 1720055098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

47 NEW SCOTLAND AVE # A-91
ALBANY, NY
ZIP 12208-412
Phone: (518) 262-5196

The NPI 1720055098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Sleep study in sleep lab (6 years or older) (HCPCS:95810)
  • Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS:95811)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Sleep study including heart rate, breathing, airflow, and effort (HCPCS:95806)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Test to measure expiratory airflow and volume (HCPCS:94010)

The enumeration date for this NPI number is 3/4/2006 and was last updated on 11/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care Medicine042836CONNECTICUTNo
2207RP1001XInternal MedicinePulmonary Disease042836CONNECTICUTNo
3207RC0200XInternal MedicineCritical Care MedicineA105076CALIFORNIANo
4207RP1001XInternal MedicinePulmonary DiseaseA105076CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11902846306OTHERCALIFORNIAGROUP NPI
2W18762OTHERCALIFORNIAGROUP MEDICARE
3BG390ZMEDICARE PINCALIFORNIA
41356390009OTHERCALIFORNIAGROUP NPI
5CE1617OTHERCALIFORNIAGROUP RAILROAD MEDICARE
6290000405MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
7W11675OTHERCALIFORNIAMEDICARE GROUP PIN
8GROO16910OTHERCALIFORNIAGROUP MEDICAID PIN
9GR0100430OTHERCALIFORNIAGROUP MEDICAL
10I29787MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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