VYACHESLAV B GOLUBOV AA
NPI 1073899407
Anesthesiologist Assistant in Dallas, TX

Active since October 31, 2011Accepts Medicare Assignment
12222 MERIT DR STE 600, DALLAS, TX 75251(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vyacheslav B Golubov Aa NPPES

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

VYACHESLAV B GOLUBOV AA (NPI 1073899407) is an individual anesthesiologist assistant in Dallas, Texas, licensed in New York (1235) and active in the NPI registry since October 2011. He is affiliated with Memorial Hermann - Texas Medical Center, maintains a secondary practice location in Houston, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1073899407
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameVYACHESLAV B GOLUBOVCredential: AA
Location Address12222 MERIT DR STE 600Dallas, TX 75251-3294
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 233-1999 · Fax (972) 233-3666
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 31, 2011
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1073899407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in NY · 1235
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

12222 MERIT DR STE 600, Dallas, TX 75251

Other Names 1

Professional Name (2)Slava Golubov Aa

Secondary Practice Location 1

Location 11500 Citywest Blvd Ste 300Houston, TX 77042-2549 · Phone (972) 233-1999 · Fax (972) 233-3666

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

Vyacheslav B Golubov Aa 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 ID1951576776
PECOS Enrollment IDI20111206000820

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

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 Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073899407, enumerated as an "individual" on October 31, 2011.

The provider is located at 12222 MERIT DR STE 600 DALLAS, TX 75251 and the phone number is (972) 715-5000.

Anesthesiologist Assistant with taxonomy code 367H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Molina. Please consult your insurance carrier or call the provider to verify.

Vyacheslav Golubov is affiliated with: MEMORIAL HERMANN - TEXAS MEDICAL CENTER, MEMORIAL HERMANN HOSPITAL SYSTEM and MEMORIAL HERMANN SUGAR LAND HOSPITAL.