1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Physician Assistant
  6. NPI Profile

RUSLAN MAMEDOV PA
NPI 1174894521
Physician Assistant in Brooklyn, NY

Active since January 17, 2012PECOS Enrolled
8001 BAY PKWY, APT 1D, BROOKLYN, NY 11214(718) 240-8075 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruslan Mamedov Pa NPPES

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

RUSLAN MAMEDOV PA (NPI 1174894521) is an individual physician assistant in Brooklyn, New York and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174894521
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSLAN MAMEDOVCredential: PA
Location Address8001 BAY PKWY, APT 1DBrooklyn, NY 11214-1957
Mailing Address8001 Bay Pkwy, Apt 1dBrooklyn, NY 11214-1957
Phone(718) 240-8075
Sole ProprietorNo
Enumeration DateJanuary 17, 2012
✔ NPI 1174894521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8001 BAY PKWY, Brooklyn, NY 11214
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruslan Mamedov Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11214 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ruslan Mamedov's NPI number?

The NPI number for Ruslan Mamedov is 1174894521. It was assigned to this individual provider in the NPPES registry on January 17, 2012.

Where is Ruslan Mamedov located?

Ruslan Mamedov practices at 8001 Bay Pkwy Apt 1D, Brooklyn, NY 11214. The listed phone number is (718) 240-8075.

What is Ruslan Mamedov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ruslan Mamedov enrolled in Medicare?

Yes. Ruslan Mamedov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruslan Mamedov was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.