DR. ANDREI R SHUSTOV MD
NPI 1346247632
Internal Medicine - Hematology & Oncology in Seattle, WA

Active since July 01, 2005
93.09/100
CMS Quality Rating
825 EASTLAKE AVENUE E, G3-200, SEATTLE, WA 98109(206) 288-6739(206) 288-6473 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrei R Shustov Md NPPES

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

DR. ANDREI R SHUSTOV MD (NPI 1346247632) is an individual hematology & oncology provider in Seattle, Washington, licensed in Washington (MD00042672) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1346247632
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ANDREI R SHUSTOVCredential: MD
Location Address825 EASTLAKE AVENUE E, G3-200Seattle, WA 98109-1023
Mailing Address825 Eastlake Avenue E, G3-200Seattle, WA 98109-1023 · (206) 288-6739 · Fax (206) 288-6473
Fax(206) 288-6473
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateMay 29, 2008
NPI 1346247632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in WA · MD00042672
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
825 EASTLAKE AVENUE E, Seattle, WA 98109

Other Identifiers 3

Medicare UPINI27814WA
Medicare ID-Type Unspecified8852578WA
Medicaid8421596WA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
825 EASTLAKE AVENUE E
SEATTLE, WA 98109

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 Andrei Shustov's NPI number?

The NPI number for Andrei Shustov is 1346247632. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Andrei Shustov located?

Andrei Shustov practices at 825 Eastlake Avenue E G3-200, Seattle, WA 98109. The listed phone number is (206) 288-6739.

What is Andrei Shustov's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Andrei Shustov was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.