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ALLA SHUSTAROVICH MD PC
NPI 1245509454
Internal Medicine in Brooklyn, NY

Active since December 16, 2011
99 BRIGHTON 11 STREET, BROOKLYN, NY 11235(718) 332-7411(718) 332-7412 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alla Shustarovich Md Pc NPPES

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

ALLA SHUSTAROVICH MD PC (NPI 1245509454) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since December 2011. The organization lists Alla Shustarovich, Md, as its authorized official.

NPPES Registry Identity

NPI1245509454
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALLA SHUSTAROVICH MD PC
Location Address99 BRIGHTON 11 STREETBrooklyn, NY 11235
Mailing Address99 Brighton 11 StreetBrooklyn, NY 11235 · (718) 332-7411 · Fax (718) 332-7412
Phone(718) 332-7411
Fax(718) 332-7412
Organization SubpartNo
Authorized OfficialAlla ShustarovichMd · (718) 332-7411
Enumeration DateDecember 16, 2011
✔ NPI 1245509454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 203553
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
99 BRIGHTON 11 STREET, Brooklyn, NY 11235
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Other Identifiers 2

Medicaid01665952NY
Medicare UPING29842NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alla Shustarovich Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120105000692Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alla Shustarovich MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alla Shustarovich, MD
Internal Medicine
NPI 1356315527
99 BRIGHTON 11 STR
Brooklyn, NY 11235
(718) 332-7411
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Alla Shustarovich MD PC's NPI number?

The NPI number for Alla Shustarovich MD PC is 1245509454. It was assigned to this organization in the NPPES registry on December 16, 2011.

Where is Alla Shustarovich MD PC located?

Alla Shustarovich MD PC is located at 99 Brighton 11 Street, Brooklyn, NY 11235. The listed phone number is (718) 332-7411.

What is Alla Shustarovich MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alla Shustarovich MD PC enrolled in Medicare?

Yes. Alla Shustarovich MD PC is registered in the Medicare PECOS enrollment system.

When is Alla Shustarovich MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alla Shustarovich MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Alla Shustarovich MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alla Shustarovich MD PC was last updated on December 16, 2011. 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.