DIMITRI FEDOROV PA
NPI 1275495046
Physician Assistant - Medical in Brooklyn, NY
About Dimitri Fedorov Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIMITRI FEDOROV PA (NPI 1275495046) is an individual medical provider in Brooklyn, New York and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dimitri Fedorov Pa 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.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Yevsey ***** May 6, 2026
5/5Other Providers at the Same Location NPPES 3
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 Dimitri Fedorov's NPI number?
The NPI number for Dimitri Fedorov is 1275495046. It was assigned to this individual provider in the NPPES registry on December 1, 2025.
Where is Dimitri Fedorov located?
Dimitri Fedorov practices at 2148 Ocean Ave Fl 5, Brooklyn, NY 11229. The listed phone number is (212) 398-1288.
What is Dimitri Fedorov's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dimitri Fedorov enrolled in Medicare?
Yes. Dimitri Fedorov 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.
When was this NPI record last updated?
The NPPES record for Dimitri Fedorov was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dimitri Fedorov, PA · NPI 1275495046
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 1, 2025.
## Identity
- **NPI:** 1275495046 (Entity type: Individual)
- **Enumerated:** December 1, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 2148 OCEAN AVE FL 5, Brooklyn, NY 11229-1484
- **Phone:** (212) 398-1288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** December 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275495046) · Data from the CMS NPPES public registry.