LARISSA NEKHLYUDOV M.D.
NPI 1053341826
Internal Medicine in Boston, MA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
133 BROOKLINE AVE, 6TH FLOOR, BOSTON, MA 02215(617) 421-5804(617) 421-8865 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larissa Nekhlyudov M.d. NPPES

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

LARISSA NEKHLYUDOV M.D. (NPI 1053341826) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (202502) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).

NPPES Registry Identity

NPI1053341826
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLARISSA NEKHLYUDOVCredential: M.D.
Location Address133 BROOKLINE AVE, 6TH FLOORBoston, MA 02215-3904
Mailing Address147 Milk St, Provider Enrollment - 9th FloorBoston, MA 02109-4806 · (617) 559-8374
Fax(617) 421-8865
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1995
Enumeration DateJuly 4, 2006
Last NPPES UpdateJanuary 10, 2014
NPI 1053341826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 202502
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

133 BROOKLINE AVE, Boston, MA 02215

Other Identifiers 7

OtherV922MA · Harvard Pilgrim
Other202502MA · Tufts
Other0018938MA · Neighborhood Health
Medicaid3206556MA
Medicare PINA32169MA
OtherJ22143MA · Blue Cross
Medicare UPING74273MA

Accepted Insurance

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

Larissa Nekhlyudov M.d. 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 ID4082806922
PECOS Enrollment IDI20101011000050
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
20 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$7.98 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$6.40 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.47 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.47 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims560 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier12 claims310 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
133 BROOKLINE AVE
BOSTON, MA 02215
Nurse Practitioner (Adult Health)
133 BROOKLINE AVE
BOSTON, MA 02215
Psychiatry & Neurology (Psychiatry)
133 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
133 BROOKLINE AVE, INTERNAL MEDICINE
BOSTON, MA 02215
Social Worker
133 BROOKLINE AVE
BOSTON, MA 02215
Registered Nurse
133 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
133 BROOKLINE AVE
BOSTON, MA 02215
Technician/Technologist (Optician)
133 BROOKLINE AVE
BOSTON, MA 02215

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 Larissa Nekhlyudov's NPI number?

The NPI number for Larissa Nekhlyudov is 1053341826. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Larissa Nekhlyudov located?

Larissa Nekhlyudov practices at 133 Brookline Ave 6th Floor, Boston, MA 02215. The listed phone number is (617) 421-5804.

What is Larissa Nekhlyudov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Larissa Nekhlyudov enrolled in Medicare?

Yes. Larissa Nekhlyudov 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.

What insurance does Larissa Nekhlyudov accept?

Health plans from Anthem Blue Cross and Blue Shield list Larissa Nekhlyudov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Larissa Nekhlyudov affiliated with any hospitals?

According to CMS data, Larissa Nekhlyudov is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Larissa Nekhlyudov was last updated on January 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.