TATYANA POLYAK MD
NPI 1124555388
Surgery - Plastic and Reconstructive Surgery in Sacramento, CA

Q: What is Tatyana Polyak's NPI number?

The NPI number for Tatyana Polyak is 1124555388. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Q: What is Tatyana Polyak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Tatyana Polyak was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment

2335 STOCKTON BLVD., NAOB 6TH FLOOR, SACRAMENTO, CA 95817(916) 734-7289(916) 734-7104 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2020, May 18, 2017 (2 updates tracked since 2017).

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About Tatyana Polyak Md NPPES

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

TATYANA POLYAK MD (NPI 1124555388) is an individual plastic and reconstructive surgery provider in Sacramento, California, licensed in California (A164438) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124555388

Entity TypeIndividualFemale

Primary Taxonomy2086S0122X

Provider Legal NameTATYANA POLYAKCredential: MD

Location Address2335 STOCKTON BLVD., NAOB 6TH FLOORSacramento, CA 95817

Mailing Address2335 Stockton Blvd., Naob 6th FloorSacramento, CA 95817 · (916) 734-7289 · Fax (916) 734-7104

Phone(916) 734-7289

Fax(916) 734-7104

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 18, 2017

Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1124555388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in CA · A164438

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedSurgeryTaxonomy 208600000X · License A164438 (CA)

2335 STOCKTON BLVD., NAOB 6TH FLOOR, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tatyana Polyak 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 ID3577811892

PECOS Enrollment IDI20200617001352

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.

Medicare Billing Reassignments

Medicare enrollment records show Tatyana Polyak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of Ca

0.1 mi

Emergency Medicine

2315 STOCKTON BLVD
Sacramento, CA 95817

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Regents Of The Univ Of Ca
2,570 clinicians in this Medicare group

NPI 1063405074 (916) 734-2363

Izuchukwu Okpara MD Inc

325 mi

Surgery

28212 KELLY JOHNSON PKWY STE 200
Valencia, CA 91355

Reassigned Medicare billing, California enrollment
51 clinicians in this Medicare group

NPI 1679004592 (213) 228-3538

Robert Marriott Medical Corp

362 mi

Surgery

222 N PACIFIC COAST HWY STE 2175
El Segundo, CA 90245

Reassigned Medicare billing, California enrollment
53 clinicians in this Medicare group

NPI 1083883938 (877) 878-3289

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 15

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

877 services175 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

141 services24 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

125 services124 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

122 services16 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

118 services57 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

60 services21 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

57 services24 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

50 services30 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

49 services32 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

46 services32 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

46 services15 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

45 services17 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

27 services27 patients

Application of chemical to stop tissue regrowth in wound 17250

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

21 services13 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services13 patients

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 Polyak's NPI number?

The NPI number for Tatyana Polyak is 1124555388. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Tatyana Polyak located?

Tatyana Polyak practices at 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817. The listed phone number is (916) 734-7289.

What is Tatyana Polyak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Tatyana Polyak enrolled in Medicare?

Yes. Tatyana Polyak 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.

Which organizations bill Medicare for Tatyana Polyak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatyana Polyak reassigns Medicare benefits to 3 organizations: Regents Of The University Of Ca (Sacramento, CA), Izuchukwu Okpara MD Inc (Valencia, CA) and Robert Marriott Medical Corp (El Segundo, CA). Each 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 Tatyana Polyak'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 Tatyana Polyak was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.