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

Dr. Nikolai Klebanov, MD

Individual provider Dermatology Physician · NPI 1386202158

Dr. Nikolai Klebanov, MD is a Dermatology in Beverly, Massachusetts. Graduated from Tufts University School of Medicine in 2019, 7 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

900 Cummings Ctr Ste 311T
Beverly, MA 01915-6260
Phone: (978) 225-3376
Fax: (978) 560-1245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 680 Centre St, Brockton, MA 02302-3308 — (508) 941-7000
  • 41 Mall Road, Burlington, MA 01805-3308 — (781) 744-8000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1014901 (MA)

Record details

NPI number1386202158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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