MR. PAVEL ODINTSOV APN
NPI 1073893178
Nurse Practitioner - Primary Care in New City, NY
About Mr. Pavel Odintsov Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAVEL ODINTSOV APN (NPI 1073893178) is an individual primary care provider in New City, New York, licensed in New York (306748) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mr. Pavel Odintsov Apn 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
2Medicare enrollment records show Pavel Odintsov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10459
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
New York, NY 10003
- Reassigned Medicare billing, New York enrollment
- 10 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10956 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW CITY, NY 10956
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 Pavel Odintsov's NPI number?
The NPI number for Pavel Odintsov is 1073893178. It was assigned to this individual provider in the NPPES registry on August 19, 2011.
Where is Pavel Odintsov located?
Pavel Odintsov practices at 182 S Main St Ste 106, New City, NY 10956. The listed phone number is (845) 358-4000.
What is Pavel Odintsov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Pavel Odintsov enrolled in Medicare?
Yes. Pavel Odintsov 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 Pavel Odintsov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Odintsov reassigns Medicare benefits to 2 organizations: Vail Healthcare Medical PLLC (Bronx, NY) and Union Square Medical Imaging And Mammography PC (New York, 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 Pavel Odintsov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pavel Odintsov accept?
Health plans from Oscar Health list Pavel Odintsov 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.
When was this NPI record last updated?
The NPPES record for Pavel Odintsov was last updated on August 6, 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.
# Mr. Pavel Odintsov, APN · NPI 1073893178
Primary Care physician in New City, New York. Individual provider, active in the CMS NPPES registry since August 19, 2011.
## Identity
- **NPI:** 1073893178 (Entity type: Individual)
- **Enumerated:** August 19, 2011
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 306748 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 182 S MAIN ST STE 106, New City, NY 10956-3318
- **Phone:** (845) 358-4000 · **Fax:** (201) 529-5913
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Vail Healthcare Medical PLLC (NPI 1487051207, Bronx, NY); Union Square Medical Imaging And Mammography PC (NPI 1912037102, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2011
## Record status
- **NPPES last updated:** August 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073893178) · Data from the CMS NPPES public registry.