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DR. ANDREY GONCHARUK M.D.
NPI 1356349922
Internal Medicine - Nephrology in Mineola, NY

Active since July 08, 2005PECOS Enrolled
300 OLD COUNTRY RD, SUITE 111, MINEOLA, NY 11501(516) 745-0500(516) 745-1534 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrey Goncharuk M.d. NPPES

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

DR. ANDREY GONCHARUK M.D. (NPI 1356349922) is an individual nephrology provider in Mineola, New York, licensed in New York (199896) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356349922
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ANDREY GONCHARUKCredential: M.D.
Location Address300 OLD COUNTRY RD, SUITE 111Mineola, NY 11501-4198
Mailing Address300 Old Country Rd, Suite 111Mineola, NY 11501-4198 · (516) 745-0500 · Fax (516) 745-1534
Phone(516) 745-0500
Fax(516) 745-1534
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateAugust 9, 2012
✔ NPI 1356349922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 199896
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
300 OLD COUNTRY RD, Mineola, NY 11501
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Other Identifiers 3

Medicaid01888637NY
Medicare ID-Type Unspecified22N391NY
Medicare UPING48791NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrey Goncharuk M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrey Goncharuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Queens Nassau Nephrology Services PLLC
Same address
Nephrology
300 OLD COUNTRY ROAD, 111
Mineola, NY 11501
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1992934467 (516) 745-0500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

STEVEN A KLEIN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
300 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 747-4404
MADONNA PHYSICIANS SERVICES PC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
300 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 747-4616
DR. BINNY KOSHY M.D.
Internal Medicine (Nephrology)
300 OLD COUNTRY RD, SUITE 111
MINEOLA, NY 11501
Nassau County (516) 745-0500
DR. ROBERT J NEJAT M.D.
Urology
300 OLD COUNTRY RD, SUITE 211
MINEOLA, NY 11501
Nassau County (516) 741-2255
GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC
Obstetrics & Gynecology (Gynecology)
300 OLD COUNTRY RD, SUITE 201
MINEOLA, NY 11501
Nassau County (516) 747-4406
METROPOLITAN MEDICAL GROUP PC
Specialist
300 OLD COUNTRY RD, #211
MINEOLA, NY 11501
Nassau County (516) 739-5310
DR. MADHUSUDANA R KORRAPATI M.D.
Internal Medicine (Nephrology)
300 OLD COUNTRY RD, SUITE 111
MINEOLA, NY 11501
Nassau County (516) 745-0500
HUE T. LY M.D.
Internal Medicine
300 OLD COUNTRY RD, SUITE 31
MINEOLA, NY 11501
Nassau County (516) 294-9380

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 Andrey Goncharuk's NPI number?

The NPI number for Andrey Goncharuk is 1356349922. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Andrey Goncharuk located?

Andrey Goncharuk practices at 300 Old Country Rd Suite 111, Mineola, NY 11501. The listed phone number is (516) 745-0500.

What is Andrey Goncharuk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Andrey Goncharuk enrolled in Medicare?

Yes. Andrey Goncharuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrey Goncharuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrey Goncharuk reassigns Medicare benefits to Queens Nassau Nephrology Services PLLC (Mineola, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrey Goncharuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrey Goncharuk was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.