IVAN GOLUB
NPI 1063974996
Student in an Organized Health Care Education/Training Program in Boston, MA
About Ivan Golub NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN GOLUB (NPI 1063974996) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ivan Golub 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ivan Golub reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maimonides Medical Center
Acute Care Hospitals · Brooklyn, NYKings County Hospital Center
Acute Care Hospitals · Brooklyn, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Ivan Golub's NPI number?
The NPI number for Ivan Golub is 1063974996. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Ivan Golub located?
Ivan Golub practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-9111.
What is Ivan Golub's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ivan Golub enrolled in Medicare?
Yes. Ivan Golub 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.
Which organizations bill Medicare for Ivan Golub's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Golub reassigns Medicare benefits to 5 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Brigham & Womens Physicians Organization Inc (Boston, MA), Maimonides Faculty Practice Plan (Brooklyn, NY) and Maimonides Medical Center Orthopaedic Fpp (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Golub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ivan Golub affiliated with any hospitals?
According to CMS data, Ivan Golub is affiliated with Maimonides Medical Center and Kings County Hospital Center.
When was this NPI record last updated?
The NPPES record for Ivan Golub was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ivan Golub · NPI 1063974996
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1063974996 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 726-9111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY); Maimonides Medical Center Orthopaedic Fpp (NPI 1073943163, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers, Robert Woood Johnson Medical School, class of 2019
## Record status
- **NPPES last updated:** May 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1063974996) · Data from the CMS NPPES public registry.