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GREGORY ANDRIANOV MD
NPI 1285484469
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 22, 2024PECOS Enrolled
FAMILY MEDICINE CENTER 611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Andrianov Md NPPES

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

GREGORY ANDRIANOV MD (NPI 1285484469) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285484469
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY ANDRIANOVCredential: MD
Location AddressFAMILY MEDICINE CENTER 611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468 · (574) 335-6500
Phone(574) 335-6500
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1285484469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

FAMILY MEDICINE CENTER 611 E DOUGLAS RD STE 407, Mishawaka, IN 46545
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Andrianov Md 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 Gregory Andrianov's NPI number?

The NPI number for Gregory Andrianov is 1285484469. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Gregory Andrianov located?

Gregory Andrianov practices at Family Medicine Center 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Gregory Andrianov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gregory Andrianov enrolled in Medicare?

Yes. Gregory Andrianov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Andrianov was last updated on March 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.