MR. ANATOLY POLOSATKIN DO
NPI 1376549923
Internal Medicine in Bronx, NY
About Mr. Anatoly Polosatkin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANATOLY POLOSATKIN DO (NPI 1376549923) is an individual internal medicine provider in Bronx, New York, licensed in New York (230799) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Hollywood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Anatoly Polosatkin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anatoly Polosatkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BRONX, NY 10461
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 Anatoly Polosatkin's NPI number?
The NPI number for Anatoly Polosatkin is 1376549923. It was assigned to this individual provider in the NPPES registry on June 27, 2005.
Where is Anatoly Polosatkin located?
Anatoly Polosatkin practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2400.
What is Anatoly Polosatkin's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Anatoly Polosatkin enrolled in Medicare?
Yes. Anatoly Polosatkin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anatoly Polosatkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anatoly Polosatkin reassigns Medicare benefits to Montefiore Medical Center (Bronx, 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 Anatoly Polosatkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Anatoly Polosatkin affiliated with any hospitals?
According to CMS data, Anatoly Polosatkin is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Anatoly Polosatkin was last updated on April 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Anatoly Polosatkin, DO · NPI 1376549923
Internal Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since June 27, 2005.
## Identity
- **NPI:** 1376549923 (Entity type: Individual)
- **Enumerated:** June 27, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 230799 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 EASTCHESTER RD, Bronx, NY 10461-2301
- **Phone:** (718) 904-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Montefiore Medical Center (NPI 1063525152, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2002
## Record status
- **NPPES last updated:** April 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376549923) · Data from the CMS NPPES public registry.