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

Dr. Olena Ksovreli, MD

Individual provider Internal Medicine Physician · NPI 1821063041

Dr. Olena Ksovreli, MD is an Internal Medicine in Stony Brook, New York. Qualified in 1988, 38 years ago. Practices with Calvary Hospital Inc, a 50-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Partly verified

Some contact details are missing from the federal record.

Health Sciences Ctr Stony Brook University
Stony Brook, NY 11794-8160
Phone: (631) 444-8478
Fax: (631) 444-7546
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 221578 (NY)

Record details

NPI number1821063041
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Calvary Hospital Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook