POLINA RADCHENKOVA PA-C
NPI 1174037477
Physician Assistant - Medical in Miami, FL

Active since November 22, 2017PECOS Enrolled
1110 BRICKELL AVE STE 400-K56, MIAMI, FL 33131(601) 669-6698 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polina Radchenkova Pa-c NPPES

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

POLINA RADCHENKOVA PA-C (NPI 1174037477) is an individual medical provider in Miami, Florida, licensed in Florida (PA9110510) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1174037477
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePOLINA RADCHENKOVACredential: PA-C
Location Address1110 BRICKELL AVE STE 400-K56Miami, FL 33131-3132
Mailing Address1110 Brickell Ave Ste 400-k56Miami, FL 33131-3132 · (601) 669-6698
Sole ProprietorNo
Enumeration DateNovember 22, 2017
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
NPI 1174037477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9110510
1110 BRICKELL AVE STE 400-K56, Miami, FL 33131

Other Names 1

Former Name (1)Polina Dasgupta Pa-c

Secondary Practice Location 1

Location 11501 Biscayne Blvd Ste 200Miami, FL 33132-1461 · Phone (786) 733-0700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Polina Radchenkova Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Polina Radchenkova's NPI number?

The NPI number for Polina Radchenkova is 1174037477. It was assigned to this individual provider in the NPPES registry on November 22, 2017. The provider is also known as Polina Dasgupta Pa-C.

Where is Polina Radchenkova located?

Polina Radchenkova practices at 1110 Brickell Ave Ste 400-K56, Miami, FL 33131. The listed phone number is (601) 669-6698.

What is Polina Radchenkova's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Polina Radchenkova enrolled in Medicare?

Yes. Polina Radchenkova is registered in the Medicare PECOS enrollment system.

What insurance does Polina Radchenkova accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan, UnitedHealthcare and Wellpoint list Polina Radchenkova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Polina Radchenkova was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.