Boston Road Medical Practice PC
NPI 1306816285 · Internal Medicine Physician · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boston Road Medical Practice PC is a Internal Medicine Physician organization in Bronx, NY (NPI 1306816285).
Provider details
- NPI number
- 1306816285
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Valeri Kazakov, Owner of the Medical Practice(718) 863-8663
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-24
- Last updated
- 2010-09-07
Frequently asked questions
- What is Boston Road Medical Practice PC's NPI number?
- Boston Road Medical Practice PC's National Provider Identifier (NPI) is 1306816285, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boston Road Medical Practice PC?
- Boston Road Medical Practice PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Boston Road Medical Practice PC located?
- Boston Road Medical Practice PC's practice location on file with NPPES is 2190 Boston Rd, Bronx, NY 10462-1201.
- What is Boston Road Medical Practice PC's phone number?
- The practice phone number listed in the NPPES registry for Boston Road Medical Practice PC is (718) 863-8663.
- Does Boston Road Medical Practice PC accept Medicare?
- Boston Road Medical Practice PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boston Road Medical Practice PC?
- The authorized official listed on Boston Road Medical Practice PC's NPPES record is Valeri Kazakov, Owner of the Medical Practice. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boston Road Medical Practice PC's NPI active?
- Yes — Boston Road Medical Practice PC's NPI (1306816285) is active in the NPPES registry as of the last update on 2010-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.