MR. GEORGIY YUSUPOV
NPI 1164007548
Nurse Practitioner - Family in Brooklyn, NY
About Mr. Georgiy Yusupov NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GEORGIY YUSUPOV (NPI 1164007548) is an individual family provider in Brooklyn, New York, licensed in New York (F347371-01) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flushing, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mr. Georgiy Yusupov 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.
Medicare Billing Reassignments
2Medicare enrollment records show Georgiy Yusupov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flushing, NY 11367
- Reassigned Medicare billing, New York enrollment
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Georgiy Yusupov's NPI number?
The NPI number for Georgiy Yusupov is 1164007548. It was assigned to this individual provider in the NPPES registry on March 16, 2021. The provider is also known as Mr. Georgiy Yusupov Fnp-C.
Where is Georgiy Yusupov located?
Georgiy Yusupov practices at 3709 Flatlands Ave, Brooklyn, NY 11234. The listed phone number is (718) 444-7766.
What is Georgiy Yusupov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Georgiy Yusupov enrolled in Medicare?
Yes. Georgiy Yusupov 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 Georgiy Yusupov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Georgiy Yusupov reassigns Medicare benefits to 2 organizations: Georgiy Yusupov Family Health Nurse Practitioner P.C. (Flushing, NY) and Brookview Medical Associates, PLLC (Bohemia, NY). 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 Georgiy Yusupov'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 Georgiy Yusupov was last updated on March 25, 2021. 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.
# Mr. Georgiy Yusupov · NPI 1164007548
Family physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 16, 2021.
## Identity
- **NPI:** 1164007548 (Entity type: Individual)
- **Enumerated:** March 16, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F347371-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3709 FLATLANDS AVE, Brooklyn, NY 11234-3507
- **Phone:** (718) 444-7766
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Georgiy Yusupov Family Health Nurse Practitioner P.C. (NPI 1003521436, Flushing, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164007548) · Data from the CMS NPPES public registry.