ALEXANDRE GENNADIEVICH ANDRIANOV (MD) – Internal Medicine Physician, NPI 1467441774

ALEXANDRE GENNADIEVICH ANDRIANOV (MD) is a healthcare provider. based in Fort kent, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 270960 (NY). The NPI Number for ALEXANDRE GENNADIEVICH ANDRIANOV (MD) is 1467441774

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRE GENNADIEVICH ANDRIANOV (MD)
NPI
1467441774
Phone
(207) 834-3155
Address
194 E MAIN ST
Enumeration Date
19 October 2005
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6315179170
Graduation Year
1998 (28 years ago)
PAC ID
5496785289
Group Practice PAC ID
3173848397
Professional Enrollment ID
I20131004000530
Address ID
NY117023025BA400XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

918 INTERNAL MEDICINE in ME

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Provider Addresses for ALEXANDRE GENNADIEVICH ANDRIANOV (MD)

  • Northern Maine Medical Center, 194, East Main Street, Fort Kent, Fort Kent Township, Aroostook County, Maine, 04743, United States

    FORT KENT, ME 047431428

    Phone: (207) 834-3155

    Type: Location

  • 400 West Main Street, 400, West Main Street, Babylon, Suffolk County, New York, 11702, United States

    STE 350

    BABYLON, NY 117023025

    Phone: (516) 297-1753

    Type: Mailing

  • 400 W MAIN ST STE 350

    BABYLON, NY 117023025

    Phone: (631) 517-9170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($144).

Total Amount

$144

General + Research + Ownership

Payments

1

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20131004000530IInternal MedicineNYTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes261256$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes177125$0
99239Hospital discharge day management, more than 30 minutes132130$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6363$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 04743)

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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: 3173848397View full group profile
NameSpecialtyState
Family PracticeNY

Reviews

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Frequently asked questions

Does ALEXANDRE GENNADIEVICH ANDRIANOV (MD) have a public NPI I can cite?
Public records show ALEXANDRE GENNADIEVICH ANDRIANOV (MD) under NPI 1467441774.
Should I treat ALEXANDRE GENNADIEVICH ANDRIANOV (MD) as an active provider?
Patients and plans typically see ALEXANDRE GENNADIEVICH ANDRIANOV (MD) as active in the national extract.
What type of care does ALEXANDRE GENNADIEVICH ANDRIANOV (MD) provide?
ALEXANDRE GENNADIEVICH ANDRIANOV (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEXANDRE GENNADIEVICH ANDRIANOV (MD)?
ALEXANDRE GENNADIEVICH ANDRIANOV (MD) is associated with Fort Kent, Maine in the same public data insurers reference.
Why is information missing for ALEXANDRE GENNADIEVICH ANDRIANOV (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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