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

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: August 23, 2026.

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

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
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

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

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.

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
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.
122 services16 patients
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.
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

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.

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 5 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.