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DMITRIY PODLOG
NPI 1023692704
Emergency Medicine in Trenton, NJ

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
750 BRUNSWICK AVE, TRENTON, NJ 08638(609) 394-6031 Get Directions Write a Review

NPPES record last updated: October 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dmitriy Podlog NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DMITRIY PODLOG (NPI 1023692704) is an individual emergency medicine provider in Trenton, New Jersey, licensed in New Jersey (25MB12408400) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Bayshore Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2021).

NPPES Registry Identity

NPI1023692704
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDMITRIY PODLOG
Location Address750 BRUNSWICK AVETrenton, NJ 08638-4143
Mailing Address750 Brunswick AveTrenton, NJ 08638-4143 · (609) 394-6031
Phone(609) 394-6031
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2021
Enumeration DateMay 10, 2021
Last NPPES UpdateOctober 19, 2024
NPPES CertifiedOctober 19, 2024
✔ NPI 1023692704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · 25MB12408400
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
750 BRUNSWICK AVE, Trenton, NJ 08638
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dmitriy Podlog is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678014305
PECOS Enrollment IDI20240923000813
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services49 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN PRICE PA-C
Physician Assistant
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 396-2600
EMMA LYN VAN OOSTROM PA-C
Physician Assistant
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6000
DELARAM MOAZAMI MD
Internal Medicine
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6000
MIRIAM ODURUKWE MD
Student in an Organized Health Care Education/Training Program
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031
SEEMA SAKARIA DO
Student in an Organized Health Care Education/Training Program
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031
OSMAN ABBASHER
Student in an Organized Health Care Education/Training Program
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031
EMERGENCY MEDICAL ASSOCIATES CHS LLC
Emergency Medicine
750 BRUNSWICK AVE, CAPITAL HEALTH REGIONAL MED. CTR. EMERGENCY DEPARTMENT
TRENTON, NJ 08638
Mercer County (469) 401-2386
ALA A ATTABI MD
Internal Medicine
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dmitriy Podlog's NPI number?

The NPI number for Dmitriy Podlog is 1023692704. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Dmitriy Podlog located?

Dmitriy Podlog practices at 750 Brunswick Ave, Trenton, NJ 08638. The listed phone number is (609) 394-6031.

What is Dmitriy Podlog's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dmitriy Podlog enrolled in Medicare?

Yes. Dmitriy Podlog is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dmitriy Podlog affiliated with any hospitals?

According to CMS data, Dmitriy Podlog is affiliated with Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Dmitriy Podlog was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.