DR. TATYANA DERVIL DPM
NPI 1396525861
Podiatrist in Decatur, GA
About Dr. Tatyana Dervil Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TATYANA DERVIL DPM (NPI 1396525861) is an individual podiatrist in Decatur, Georgia, licensed in Florida (4757) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tatyana Dervil Dpm 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tatyana Dervil reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Debary, FL 32713
- Reassigned Medicare billing, Florida enrollment
- 39 clinicians in this Medicare group
Stuart, FL 34994
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
North Miami, FL 33161
- Reassigned Medicare billing, Florida enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DECATUR, GA 30033
DECATUR, GA 30033
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 Dervil's NPI number?
The NPI number for Tatyana Dervil is 1396525861. It was assigned to this individual provider in the NPPES registry on October 3, 2023.
Where is Tatyana Dervil located?
Tatyana Dervil practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 695-2611.
What is Tatyana Dervil's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Tatyana Dervil enrolled in Medicare?
Yes. Tatyana Dervil 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.
Which organizations bill Medicare for Tatyana Dervil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatyana Dervil reassigns Medicare benefits to 3 organizations: Pedirite Medical Fl LLC (Debary, FL), Dr Jessica Taub Podiatry DPM LLC (Stuart, FL) and Naila Esmail Mbbs DPM PA (North Miami, FL). Each 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 Tatyana Dervil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tatyana Dervil accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Oscar Health Maintenance Organization of Florida list Tatyana Dervil 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.
When was this NPI record last updated?
The NPPES record for Tatyana Dervil was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Tatyana Dervil, DPM · NPI 1396525861
Podiatrist provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since October 3, 2023.
## Identity
- **NPI:** 1396525861 (Entity type: Individual)
- **Enumerated:** October 3, 2023
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 4757 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1670 CLAIRMONT RD, Decatur, GA 30033-4004
- **Phone:** (404) 695-2611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pedirite Medical Fl LLC (NPI 1750962023, Debary, FL); Dr Jessica Taub Podiatry DPM LLC (NPI 1285248286, Stuart, FL); Naila Esmail Mbbs DPM PA (NPI 1942516323, North Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396525861) · Data from the CMS NPPES public registry.