BORIS BULAT KUMAEV (DO) – Neuroradiology Physician, NPI 1144607102

BORIS BULAT KUMAEV (DO) is a healthcare provider. based in Jacksonville, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 287810 (MA). The NPI Number for BORIS BULAT KUMAEV (DO) is 1144607102

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BORIS BULAT KUMAEV (DO)
NPI
1144607102
Phone
Not provided
Address
655 W 8TH ST
Enumeration Date
29 April 2015
Last Update Date
23 February 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
5162663456
Graduation Year
2015 (11 years ago)
PAC ID
8729481627
Group Practice PAC ID
5698175933
Professional Enrollment ID
I20240318003014
Address ID
NY117831604SE1220XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for BORIS BULAT KUMAEV (DO)

  • 655 W 8TH ST

    JACKSONVILLE, FL 322096511

    Phone:

    Type: Mailing

  • 243 CHARLES ST

    BOSTON, MA 021143002

    Phone: (617) 391-5971

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210729003595IDiagnostic RadiologyMATBD
I20240318003014IDiagnostic RadiologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views506495$0
70450Ct scan head or brain without contrast472449$0
70551Mri scan of brain without contrast351342$0
70553Mri scan of brain before and after contrast236227$0
72148Mri scan of lower spinal canal without contrast181180$0
View full utilization report →

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698175933View full group profile
NameSpecialtyState
Diagnostic RadiologyNY
Diagnostic RadiologyAZ
Diagnostic RadiologyCA
Diagnostic RadiologyNJ
Diagnostic RadiologyNY
Diagnostic RadiologyNY
Diagnostic RadiologyFL
Diagnostic RadiologyNJ
Diagnostic RadiologyAZ
Diagnostic RadiologyOH

Reviews

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Frequently asked questions

Where can patients find BORIS BULAT KUMAEV (DO)'s NPI?
You can confirm BORIS BULAT KUMAEV (DO) with NPI 1144607102; it appears in the national provider directory.
Is BORIS BULAT KUMAEV (DO)'s NPI currently valid?
The extract we use shows BORIS BULAT KUMAEV (DO) as active.
What kind of provider is BORIS BULAT KUMAEV (DO)?
The page reflects Neuroradiology Physician for BORIS BULAT KUMAEV (DO). Clinical services aligned with this taxonomy classification.
What location shows for BORIS BULAT KUMAEV (DO)?
We surface Jacksonville, Florida for BORIS BULAT KUMAEV (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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