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DR. JULIA ZEFIROVA M.D., PHD
NPI 1346472933
Internal Medicine - Infectious Disease in Kittanning, PA

Active since August 14, 2009PECOS EnrolledAccepts Medicare Assignment
1 NOLTE DR, KITTANNING, PA 16201(724) 906-4832 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2023, Feb 2, 2023, Dec 20, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Julia Zefirova M.d., Phd NPPES

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

DR. JULIA ZEFIROVA M.D., PHD (NPI 1346472933) is an individual infectious disease provider in Kittanning, Pennsylvania, licensed in Pennsylvania (MD470835) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1346472933
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JULIA ZEFIROVACredential: M.D., PHD
Location Address1 NOLTE DRKittanning, PA 16201-7111
Mailing Address3601 5th Ave Ste 5bPittsburgh, PA 15213-3403 · (412) 648-6406 · Fax (412) 648-6399
Phone(724) 906-4832
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 14, 2009
Last NPPES UpdateOctober 30, 20244 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1346472933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · MD470835
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT216873 (PA), TM2022-1449 (NM)
1 NOLTE DR, Kittanning, PA 16201
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 5th Ave Ste 5BPittsburgh, PA 15213-3403 · Phone (412) 648-6406 · Fax (412) 648-6399

Other Identifiers 7

Other9896877CT · Aetna
Other02398292CT · Coventry
Other051075CT · Connecticare
Medicaid008040387CT
Other715505CT · Wellcare
Other1169038CT · Usa
OtherPENDINGCT · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., CareSource, Oscar Health Plan, Inc. and more.Insurance ›

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

Dr. Julia Zefirova M.d., Phd 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.

PECOS PAC ID840455424
PECOS Enrollment IDI20120705000164, I20200707000030, I20201203001008
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
54%59 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

ARMSTRONG COUNTY MEMORIAL HOSPITAL
Internal Medicine
1 NOLTE DR, SNYDER INSTITUTE
KITTANNING, PA 16201
Armstrong County (724) 543-8500
THOMAS LYNCH
Pediatrics
1 NOLTE DR, STE 170
KITTANNING, PA 16201
Armstrong County (724) 548-2283
JAMES E CHILDS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8122
GLADE RUN MEDICAL ASSOCIATES
Surgery
1 NOLTE DR, SNYDER INSTITUTE
KITTANNING, PA 16201
Armstrong County (724) 543-8536
DR. BRITTANEY LEIGH MOORE C.R.N.P.
Nurse Practitioner (Family)
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8268
TODD R OLINGER PT
Physical Therapist
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8880
ALLISON TAYLOR CICCHITTO PA-C
Physician Assistant
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8500
BRITTNEY DANEE KOPAS CRNA
Nurse Anesthetist, Certified Registered
1 NOLTE DR
KITTANNING, PA 16201
Armstrong County (724) 543-8500

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 Julia Zefirova's NPI number?

The NPI number for Julia Zefirova is 1346472933. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Julia Zefirova located?

Julia Zefirova practices at 1 Nolte Dr, Kittanning, PA 16201. The listed phone number is (724) 906-4832.

What is Julia Zefirova's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Julia Zefirova enrolled in Medicare?

Yes. Julia Zefirova 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.

What insurance does Julia Zefirova accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., CareSource, Oscar Health Plan, Inc. and Oscar Insurance Company list Julia Zefirova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Julia Zefirova affiliated with any hospitals?

According to CMS data, Julia Zefirova is affiliated with Upmc Northwest and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Julia Zefirova was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.