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GENNADY MARATOVICH VULAKH MD
NPI 1093651622
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 27, 2026PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-9990(215) 243-3297 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gennady Maratovich Vulakh Md NPPES

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

GENNADY MARATOVICH VULAKH MD (NPI 1093651622) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093651622
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGENNADY MARATOVICH VULAKHCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-9990 · Fax (215) 243-3297
Phone(215) 662-9990
Fax(215) 243-3297
Sole ProprietorNo
Enumeration DateApril 27, 2026
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1093651622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gennady Maratovich Vulakh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
JENNIFER DEKERLEGAND
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3265

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 Gennady Vulakh's NPI number?

The NPI number for Gennady Vulakh is 1093651622. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Gennady Vulakh located?

Gennady Vulakh practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-9990.

What is Gennady Vulakh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gennady Vulakh enrolled in Medicare?

Yes. Gennady Vulakh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gennady Vulakh was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.