DR. MIKHAIL GUSMAN MD
NPI 1336159490
Internal Medicine in Greenfield Park, NY

Active since August 09, 2006PECOS Enrolled
79 TAMARACK RD, GREENFIELD PARK, NY 12435(845) 210-1473 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mikhail Gusman Md NPPES

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

DR. MIKHAIL GUSMAN MD (NPI 1336159490) is an individual internal medicine provider in Greenfield Park, New York, licensed in New York (215332) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336159490
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIKHAIL GUSMANCredential: MD
Location Address79 TAMARACK RDGreenfield Park, NY 12435-0340
Mailing Address79 Tamarack Rd, Po Box 340Greenfield Park, NY 12435-0340 · (845) 210-1473
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336159490 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 · 215332
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.
79 TAMARACK RD, Greenfield Park, NY 12435

Other Identifiers 3

Medicare UPINH10368NY
Medicaid02050984NY
Medicare ID-Type Unspecified55C491NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mikhail Gusman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12435 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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 Mikhail Gusman's NPI number?

The NPI number for Mikhail Gusman is 1336159490. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Mikhail Gusman located?

Mikhail Gusman practices at 79 Tamarack Rd, Greenfield Park, NY 12435. The listed phone number is (845) 210-1473.

What is Mikhail Gusman's specialty?

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

Is Mikhail Gusman enrolled in Medicare?

Yes. Mikhail Gusman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikhail Gusman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.