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DR. YELENA GALUMYAN MD
NPI 1356587828
Internal Medicine in Englewood, NJ

Active since January 05, 2009PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
350 ENGLE ST, ENGLEWOOD, NJ 07631(201) 894-3364(201) 894-5693 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Yelena Galumyan Md NPPES

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

DR. YELENA GALUMYAN MD (NPI 1356587828) is an individual internal medicine provider in Englewood, New Jersey, licensed in New Jersey (25MA08715600) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1356587828
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. YELENA GALUMYANCredential: MD
Location Address350 ENGLE STEnglewood, NJ 07631-1808
Mailing Address350 Engle StEnglewood, NJ 07631-1808 · (201) 894-3364 · Fax (201) 894-5693
Phone(201) 894-3364
Fax(201) 894-5693
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 5, 2009
Last NPPES UpdateApril 13, 2010
✔ NPI 1356587828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08715600
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.
350 ENGLE ST, Englewood, NJ 07631
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Yelena Galumyan Md 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 ID1355494105
PECOS Enrollment IDI20100512000541
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.
314 services166 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
212 services156 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
160 services157 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services104 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$13.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$53.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JORGE LUIS VIVAR-AGUIRRE M.D.
Internal Medicine
350 ENGLE ST, ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 984-3664
DR. MASSOUD KASHANI MD
Pathology (Anatomic Pathology & Clinical Pathology)
350 ENGLE ST, DEPT. OF PATHOLOGY
ENGLEWOOD, NJ 07631
Bergen County (201) 894-1702
PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY, PC
Specialist
350 ENGLE ST, SUITE 5N
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3690
DAVID GARFUNKEL MD
Anesthesiology
350 ENGLE ST
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3322
MICHAEL D VARDY GYNECOLOGY AND UROGYNECOLOGY, LLC
Obstetrics & Gynecology (Gynecology)
350 ENGLE ST, 5 WEST
ENGLEWOOD, NJ 07631
Bergen County (917) 504-0415
KRISTOFFERSON M PINEDA ANP - BC
Nurse Practitioner (Adult Health)
350 ENGLE ST
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3908
ELDINE CICERON
Nurse Anesthetist, Certified Registered
350 ENGLE ST
ENGLEWOOD, NJ 07631
Bergen County (845) 821-0058
MICHELLE GANAT MD
Student in an Organized Health Care Education/Training Program
350 ENGLE ST
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143

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 Yelena Galumyan's NPI number?

The NPI number for Yelena Galumyan is 1356587828. It was assigned to this individual provider in the NPPES registry on January 5, 2009.

Where is Yelena Galumyan located?

Yelena Galumyan practices at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 894-3364.

What is Yelena Galumyan's specialty?

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

Is Yelena Galumyan enrolled in Medicare?

Yes. Yelena Galumyan 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 Yelena Galumyan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Yelena Galumyan 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 Yelena Galumyan affiliated with any hospitals?

According to CMS data, Yelena Galumyan is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Yelena Galumyan was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.