DR. LUIZA GUSEYNOV M.D.
NPI 1114994134
Family Medicine in Bronx, NY

Active since March 08, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1034834 · Waiver
3108 KINGSBRIDGE AVE, OFFICE B, BRONX, NY 10463(718) 432-0200 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Luiza Guseynov M.d. NPPES

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

DR. LUIZA GUSEYNOV M.D. (NPI 1114994134) is an individual family medicine provider in Bronx, New York, licensed in New York (233370) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 25, 2026, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1114994134
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUIZA GUSEYNOVCredential: M.D.
Location Address3108 KINGSBRIDGE AVE, OFFICE BBronx, NY 10463-3956
Mailing Address168-32 Powells Cove BlvdBeechhurst, NY 11357-1523 · (917) 841-4129
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 30, 2012
NPI 1114994134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 233370
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3108 KINGSBRIDGE AVE, Bronx, NY 10463

Other Identifiers 3

Medicare ID-Type Unspecified1658P1NY
Medicaid02625643NY
Medicare UPINI23405NY

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. Luiza Guseynov M.d. 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 ID648228270
PECOS Enrollment IDI20050110001005
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1034834

Luiza Guseynov Physician PLLC · Bronx, NY
Active · expires Aug 25, 2026
CLIA Number33D1034834
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorDr. Luiza Guseynov
Laboratory Phone(718) 432-0200
Laboratory LocationLuiza Guseynov Physician PLLC3108 Kingsbridge Avenue, Ground Floor, Bronx, NY 10463
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services58 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
58 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
34 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims70 services$5.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers24 claims29 services$1.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$190.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
3108 KINGSBRIDGE AVE, GROUND FLOOR,OFFICE B
BRONX, NY 10463
Specialist
3108 KINGSBRIDGE AVE
BRONX, NY 10463
Podiatrist
3108 KINGSBRIDGE AVE
BRONX, NY 10463
Podiatrist (Foot & Ankle Surgery)
3108 KINGSBRIDGE AVE
BRONX, NY 10463
Chiropractor
3108 KINGSBRIDGE AVE
BRONX, NY 10463

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 Luiza Guseynov's NPI number?

The NPI number for Luiza Guseynov is 1114994134. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Luiza Guseynov located?

Luiza Guseynov practices at 3108 Kingsbridge Ave Office B, Bronx, NY 10463. The listed phone number is (718) 432-0200.

What is Luiza Guseynov's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luiza Guseynov enrolled in Medicare?

Yes. Luiza Guseynov 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.

Does Luiza Guseynov hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1034834) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luiza Guseynov was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.