POULET NIKOLAY M.D
NPI 1407156615
Family Medicine in Burbank, CA
About Poulet Nikolay M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POULET NIKOLAY M.D (NPI 1407156615) is an individual family medicine provider in Burbank, California, licensed in California (A115824) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
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
Poulet Nikolay 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.
Medicare Billing Reassignments
2Medicare enrollment records show Poulet Nikolay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Hollywood, CA 91601
- Reassigned Medicare billing, California enrollment
- 1,939 clinicians in this Medicare group
Los Angeles, CA 90039
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
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 Poulet Nikolay's NPI number?
The NPI number for Poulet Nikolay is 1407156615. It was assigned to this individual provider in the NPPES registry on October 22, 2010.
Where is Poulet Nikolay located?
Poulet Nikolay practices at 191 S Buena Vista St Suite 220, Burbank, CA 91505. The listed phone number is (818) 557-2671.
What is Poulet Nikolay's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Poulet Nikolay enrolled in Medicare?
Yes. Poulet Nikolay 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 Poulet Nikolay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Poulet Nikolay reassigns Medicare benefits to 2 organizations: County Of Los Angeles (North Hollywood, CA) and Southern California Permanente Medical Group (Los Angeles, CA). 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 Poulet Nikolay'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 Poulet Nikolay was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Poulet Nikolay, M.D · NPI 1407156615
Family Medicine physician in Burbank, California. Individual provider, active in the CMS NPPES registry since October 22, 2010.
## Identity
- **NPI:** 1407156615 (Entity type: Individual)
- **Enumerated:** October 22, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A115824 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 S BUENA VISTA ST, SUITE 220, Burbank, CA 91505-4554
- **Phone:** (818) 557-2671
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles (NPI 1386838217, North Hollywood, CA); Southern California Permanente Medical Group (NPI 1346328853, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407156615) · Data from the CMS NPPES public registry.