MISS TATYANA GAVRILOVA M.D.
NPI 1386888659
Internal Medicine in Bronx, NY

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER, BRONX, NY 10467(718) 405-8530 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Tatyana Gavrilova M.d. NPPES

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

MISS TATYANA GAVRILOVA M.D. (NPI 1386888659) is an individual internal medicine provider in Bronx, New York, licensed in New York (266400) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386888659
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMISS TATYANA GAVRILOVACredential: M.D.
Location Address111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTERBronx, NY 10467
Mailing Address111 East 210th Street, Montefiore Medical CenterBronx, NY 10467 · (718) 405-8530
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2009
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1386888659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 266400
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.
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License 266400 (NY)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 266400 (NY)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 266400 (NY)
111 EAST 210TH STREET, Bronx, NY 10467

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

Miss Tatyana Gavrilova M.d. 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 ID5890086300
PECOS Enrollment IDI20250730003544
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.

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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.

Nurse Practitioner
111 EAST 210TH STREET, MONTEFIORE SCHOOL HEALTH PROGRAM
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
111 EAST 210TH STREET, DEPARTMENT OF PATHOLOGY
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 EAST 210TH STREET, STERN STROKE CENTER
BRONX, NY 10467
Physician Assistant
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Pharmacist
111 EAST 210TH STREET
BRONX, NY 10467
Clinic/Center (Primary Care)
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
General Acute Care Hospital
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Nurse Practitioner
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467

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 Tatyana Gavrilova's NPI number?

The NPI number for Tatyana Gavrilova is 1386888659. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Tatyana Gavrilova located?

Tatyana Gavrilova practices at 111 East 210th Street Montefiore Medical Center, Bronx, NY 10467. The listed phone number is (718) 405-8530.

What is Tatyana Gavrilova's specialty?

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

Is Tatyana Gavrilova enrolled in Medicare?

Yes. Tatyana Gavrilova 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.

Is Tatyana Gavrilova affiliated with any hospitals?

According to CMS data, Tatyana Gavrilova is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Tatyana Gavrilova was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.