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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TATYANA TRAVKINA MD
NPI 1093016685
General Practice in Hollywood, FL

Active since November 12, 2010PECOS Enrolled
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 265-5423 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Dec 8, 2023 (2 updates tracked since 2023).

About Tatyana Travkina Md NPPES

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

TATYANA TRAVKINA MD (NPI 1093016685) is an individual general practice provider in Hollywood, Florida, licensed in Florida (ME152294) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1093016685
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameTATYANA TRAVKINACredential: MD
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address287 Durand WayPalo Alto, CA 94304-2387
Phone(954) 265-5423
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 12, 2010
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1093016685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ME152294✔ Licensed in CA · A113663
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3501 JOHNSON ST, Hollywood, FL 33021
Open in Google Maps ↗

Secondary Practice Location 1

Location 13100 Weston RdWeston, FL 33331-3602 · Phone (216) 636-8316

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

Tatyana Travkina Md 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 ID9931341294
PECOS Enrollment IDI20220125000996
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.

Hospital Affiliations CMS Care Compare

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward 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.

DR. LESTER GOLDBERG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. TIMOTHY M. BURKE D.O.
Emergency Medicine
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MOHAMMAD ALI ANSARI LARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
DR. STANLEY JARED CHANG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 437-4800
SAMANTHA THEMAS
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 265-5900
DR. CHANCE MILAN YURCO PHARMD, RPH
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
MR. GREGORY GRAVES JR. CAA
Anesthesiologist Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

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 Tatyana Travkina's NPI number?

The NPI number for Tatyana Travkina is 1093016685. It was assigned to this individual provider in the NPPES registry on November 12, 2010.

Where is Tatyana Travkina located?

Tatyana Travkina practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 265-5423.

What is Tatyana Travkina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tatyana Travkina enrolled in Medicare?

Yes. Tatyana Travkina 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 Tatyana Travkina affiliated with any hospitals?

According to CMS data, Tatyana Travkina is affiliated with Memorial Regional Hospital.

When was this NPI record last updated?

The NPPES record for Tatyana Travkina was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.