VYACHESLAV DABAKAROV
NPI 1306477955
Nurse Practitioner - Family in Fresh Meadows, NY
About Vyacheslav Dabakarov NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VYACHESLAV DABAKAROV (NPI 1306477955) is an individual family provider in Fresh Meadows, New York, licensed in New York (345472) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.
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 (PECOS)
Vyacheslav Dabakarov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11366 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Vyacheslav Dabakarov's NPI number?
The NPI number for Vyacheslav Dabakarov is 1306477955. It was assigned to this individual provider in the NPPES registry on February 3, 2020.
Where is Vyacheslav Dabakarov located?
Vyacheslav Dabakarov practices at 7315 194th St, Fresh Meadows, NY 11366. The listed phone number is (347) 684-6605.
What is Vyacheslav Dabakarov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vyacheslav Dabakarov enrolled in Medicare?
Yes. Vyacheslav Dabakarov is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Vyacheslav Dabakarov was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Vyacheslav Dabakarov · NPI 1306477955
Family physician in Fresh Meadows, New York. Individual provider, active in the CMS NPPES registry since February 3, 2020.
## Identity
- **NPI:** 1306477955 (Entity type: Individual)
- **Enumerated:** February 3, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 345472 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 7315 194TH ST, Fresh Meadows, NY 11366-1835
- **Phone:** (347) 684-6605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1306477955) · Data from the CMS NPPES public registry.