DR. ALEXEI SHIMANOVSKY (M.D.,) – Medical Oncology Physician, NPI 1699054924

DR. ALEXEI SHIMANOVSKY (M.D.,) is a healthcare provider. based in Providence, Rhode Island. specializing in MEDICAL ONCOLOGY, HEMATOLOGY. They hold the professional credentials M.D.,. They hold a License No. MD16121 (RI). The NPI Number for DR. ALEXEI SHIMANOVSKY (M.D.,) is 1699054924

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXEI SHIMANOVSKY (M.D.,)
NPI
1699054924
Phone
(401) 444-6779
Address
117 ELLENFIELD ST STE 101
Enumeration Date
4 August 2011
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61763230003000
Graduation Year
2011 (15 years ago)
PAC ID
8628371325
Group Practice PAC ID
9133038904
Professional Enrollment ID
I20230613001591
Address ID
MA020351375FO22XXXPLXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:14State licenses:2Digital endpointsOther names

457 MEDICAL ONCOLOGY in MA

Provider Addresses for DR. ALEXEI SHIMANOVSKY (M.D.,)

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054513

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • 20 PROSPECT ST

    MILFORD, MA 017573042

    Phone: (508) 448-3700

    Fax: (508) 488-2016

    Type: Mailing

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-5435

    Fax: (401) 444-8301

    Type: Location

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: 2023-06-13

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
I20230613001591IMedical OncologyMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9056$0
99215Established patient office or other outpatient visit, 40-54 minutes7442$0
99205New patient office or other outpatient visit, 60-74 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 9133038904View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Hematology/Oncology, Pediatric MedicineMA
Radiation OncologyMA
-MA
Medical OncologyWA
H E M A T O L O G Y/ O N C O L O G YMA
Hematology, Internal MedicineMA
Orthopedic SurgeryMA
Hematology, Medical OncologyMA

Reviews

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Frequently asked questions

What is the standard ID for DR. ALEXEI SHIMANOVSKY (M.D.,) in the U.S.?
In the U.S., DR. ALEXEI SHIMANOVSKY (M.D.,) is identified by NPI 1699054924.
Quick check: is DR. ALEXEI SHIMANOVSKY (M.D.,) active?
Public NPPES data shows DR. ALEXEI SHIMANOVSKY (M.D.,) with an active NPI status right now.
What services align with DR. ALEXEI SHIMANOVSKY (M.D.,)'s listing?
DR. ALEXEI SHIMANOVSKY (M.D.,)'s public classification highlights Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ALEXEI SHIMANOVSKY (M.D.,) in Providence, Rhode Island?
For routing, start with Providence, Rhode Island for DR. ALEXEI SHIMANOVSKY (M.D.,), then verify phone and hours locally.
Why is information missing for DR. ALEXEI SHIMANOVSKY (M.D.,)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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