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DR. ALYSSA ROSE OGNENOVSKI M.D.
NPI 1215319025
Family Medicine in Los Angeles, CA

Active since June 29, 2015PECOS Enrolled
808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1411(877) 720-7181 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Dec 4, 2023, May 16, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Alyssa Rose Ognenovski M.d. NPPES

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

DR. ALYSSA ROSE OGNENOVSKI M.D. (NPI 1215319025) is an individual family medicine provider in Los Angeles, California, licensed in Texas (U8559) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1215319025
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALYSSA ROSE OGNENOVSKICredential: M.D.
Location Address808 W 58TH STLos Angeles, CA 90037
Mailing Address981 State Highway 121 Ste 4150Allen, TX 75013-6150 · (972) 330-4264
Phone(323) 541-1411
Fax(877) 720-7181
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateDecember 4, 20254 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1215319025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · U8559✔ Licensed in CA · A155857
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
808 W 58TH ST, Los Angeles, CA 90037
Open in Google Maps ↗

Secondary Practice Location 1

Location 1150 55th St, Department of Family MedicineBrooklyn, NY 11220-2508 · Phone (718) 630-8519 · Fax (718) 630-8471

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alyssa Rose Ognenovski M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Ognenovski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Johns Community Health
Same address
Community Health
808 W 58TH ST
Los Angeles, CA 90037
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1073363768 (323) 541-1600

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 90037 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TAMMY SUE TOWNS APRN
Nurse Practitioner (Women's Health)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1400
DAVID K YOO NP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
GABRIELLA OLOYE RN, FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1141
KIMI YAMAMOTO
Dentist (Orofacial Pain)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 285-9830
DR. SAGHAR SABER M.D
Internal Medicine (Infectious Disease)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1411
INGEBORG WESTIEN MD
Pediatrics
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
KEISHA NERISE CONWRIGHT FNP
Nurse Practitioner (Family)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600
DR. DEANDRA NICHELLE TURNER D.D.S.
Dentist (Pediatric Dentistry)
808 W 58TH ST
LOS ANGELES, CA 90037
Los Angeles County (323) 541-1600

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 Alyssa Ognenovski's NPI number?

The NPI number for Alyssa Ognenovski is 1215319025. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Alyssa Ognenovski located?

Alyssa Ognenovski practices at 808 W 58th St, Los Angeles, CA 90037. The listed phone number is (323) 541-1411.

What is Alyssa Ognenovski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alyssa Ognenovski enrolled in Medicare?

Yes. Alyssa Ognenovski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Ognenovski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Ognenovski reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The 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 Alyssa Ognenovski'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 Alyssa Ognenovski was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.