NELLIE KONNIKOV (MD) – Procedural Dermatology Physician, NPI 1376646638

NELLIE KONNIKOV (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in Procedural Dermatology Physician. They hold the professional credentials MD. They hold a License No. 50447 (MA). The NPI Number for NELLIE KONNIKOV (MD) is 1376646638

Main info

Female
Name
NELLIE KONNIKOV (MD)
NPI
1376646638
Phone
(857) 364-4757
Address
150 S HUNGTINGTON ST
Enumeration Date
5 September 2006
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for NELLIE KONNIKOV (MD)

  • 150 S HUNGTINGTON ST

    BOSTON, MA 02130

    Phone: (857) 364-4757

    Fax: (857) 364-6604

    Type: Mailing

  • 150 S HUNGTINGTON AVE

    BOSTON, MA 02130

    Phone: (857) 364-4757

    Fax: (857) 364-6604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,827.

Total Amount is formed as General ($1,827) + Research ($0) + Ownership ($0) = $1,827.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($507).

Total Amount

$1,827

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,827

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2016-06-28

PECOS data refreshed: 2026-05-27

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02130)

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Reviews

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Frequently asked questions

What is the standard ID for NELLIE KONNIKOV (MD) in the U.S.?
In the U.S., NELLIE KONNIKOV (MD) is identified by NPI 1376646638.
Does the public listing show NELLIE KONNIKOV (MD) as active?
NELLIE KONNIKOV (MD)'s NPI record reflects an active status in NPPES.
What services align with NELLIE KONNIKOV (MD)'s listing?
NELLIE KONNIKOV (MD)'s public classification highlights Procedural Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NELLIE KONNIKOV (MD) in Boston, Massachusetts?
For routing, start with Boston, Massachusetts for NELLIE KONNIKOV (MD), then verify phone and hours locally.
Who maintains NELLIE KONNIKOV (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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