DR. ELIZAVETA V ZVIAGUIN DDS, MD
NPI 1104142470
Oral & Maxillofacial Surgery in Portland, ME

Q: What is Elizaveta Zviaguin's NPI number?

The NPI number for Elizaveta Zviaguin is 1104142470. It was assigned to this individual provider in the NPPES registry on April 12, 2010. The provider is also known as Elizaveta V Rogol Dds.

Q: What is Elizaveta Zviaguin's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment

85.18/100

CMS Quality Rating

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4078 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, Jul 17, 2023, Sep 25, 2018 (3 updates tracked since 2018).

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About Dr. Elizaveta V Zviaguin Dds, Md NPPES

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

DR. ELIZAVETA V ZVIAGUIN DDS, MD (NPI 1104142470) is an individual oral & maxillofacial surgery provider in Portland, Maine, licensed in Maine (DEN5249) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104142470

Entity TypeIndividualFemale

Primary Taxonomy204E00000X

Provider Legal NameDR. ELIZAVETA V ZVIAGUINCredential: DDS, MD

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-4078

Phone(207) 662-4078

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 12, 2010

Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1104142470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in ME · DEN5249✔ Licensed in ME · MD29441✔ Licensed in NM · DD4981

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

22 BRAMHALL ST, Portland, ME 04102

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Other Names 1

Former Name (1)Elizaveta V Rogol Dds

Secondary Practice Locations 3

Location 1190 Park AvePortland, ME 04102-2910 · Phone (207) 819-6600 · Fax (207) 797-9571

Location 21801 Camino De Salud NE Ste 1100Albuquerque, NM 87102-4516 · Phone (505) 925-7918

Location 3117 W 75th St, Apt 8New York, NY 10023-1823 · Phone (718) 300-2142

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

Dr. Elizaveta V Zviaguin Dds, 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 ID5496008286

PECOS Enrollment IDI20181024002152, I20250807004339

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 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Unm Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number320001

Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Cost

57.08

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)