DR. VIKTOR B SMIRNOV MD
NPI 1093891277
Surgery in Mineola, NY
About Dr. Viktor B Smirnov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIKTOR B SMIRNOV MD (NPI 1093891277) is an individual surgery provider in Mineola, New York, licensed in New York (15973) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in East Meadow.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Viktor B Smirnov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Viktor Smirnov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINEOLA, NY 11501
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 Viktor Smirnov's NPI number?
The NPI number for Viktor Smirnov is 1093891277. It was assigned to this individual provider in the NPPES registry on October 31, 2006.
Where is Viktor Smirnov located?
Viktor Smirnov practices at 300 Old Country Rd Ste 101, Mineola, NY 11501. The listed phone number is (516) 741-4138.
What is Viktor Smirnov's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Viktor Smirnov enrolled in Medicare?
Yes. Viktor Smirnov is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Viktor Smirnov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Viktor Smirnov reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Viktor Smirnov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Viktor Smirnov was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Viktor B Smirnov, MD · NPI 1093891277
Surgery physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since October 31, 2006.
## Identity
- **NPI:** 1093891277 (Entity type: Individual)
- **Enumerated:** October 31, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 15973 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 OLD COUNTRY RD STE 101, Mineola, NY 11501-4112
- **Phone:** (516) 741-4138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2023
- **Other identifiers:** Medicaid 00972743 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1093891277) · Data from the CMS NPPES public registry.