Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Boris V Kovalenko, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366838278

Dr. Boris V Kovalenko, MD is an Orthopedic Surgery in Auburn, Maine. Graduated from Medical College of Georgia School of Medicine in 2015, 11 years ago. Practices with St Marys Regional Medical Center, a 194-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Gracelawn Rd Ste 101
Auburn, ME 04210-6347
Phone: (207) 333-4710
Fax: (207) 333-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 117 Auburn St, Portland, ME 04103-6003 — (207) 797-4791
  • 325 9th Ave, Seattle, WA 98104-2420 — (206) 744-3466

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 85472 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366838278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address325 9th Ave, Box 359798, Dept Of Orthopaedics & Sports Medicine, Seattle, WA 98104-2420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice St Marys Regional Medical Center — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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