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BORIS LUKATSKIY CRNA
NPI 1417719840
Nurse Anesthetist, Certified Registered in Syracuse, NY

Active since January 30, 2024Accepts Medicare Assignment
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-4891 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boris Lukatskiy Crna NPPES

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

BORIS LUKATSKIY CRNA (NPI 1417719840) is an individual nurse anesthetist, certified registered in Syracuse, New York, licensed in Pennsylvania (RN741339) and active in the NPI registry since January 2024. He is affiliated with Milton S Hershey Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417719840
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBORIS LUKATSKIYCredential: CRNA
Location Address750 E ADAMS STSyracuse, NY 13210-1834
Mailing Address5784 Widewaters Pkwy, Floor 2Syracuse, NY 13214-1890 · (315) 469-1130 · Fax (315) 469-1134
Phone(315) 464-4891
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 30, 2024
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1417719840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in PA · RN741339✔ Licensed in NY · 735574
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
750 E ADAMS ST, Syracuse, NY 13210
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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

Boris Lukatskiy Crna 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 ID941745624
PECOS Enrollment IDI20250822002991

Medicare Billing Reassignments

2

Medicare enrollment records show Boris Lukatskiy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upstate Medical Anesthesiology Group, Inc.
Same address
General Acute Care Hospital
750 EAST ADAMS STR, SUITE 4143
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 132 clinicians in this Medicare group
NPI 1851485759 (315) 464-4891
The Milton S Hershey Medical Center Physicians Group
192 mi
Pediatrics
35 HOPE DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1205801537 (800) 243-1455

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.

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Boris Lukatskiy's NPI number?

The NPI number for Boris Lukatskiy is 1417719840. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Boris Lukatskiy located?

Boris Lukatskiy practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4891.

What is Boris Lukatskiy's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Boris Lukatskiy enrolled in Medicare?

Yes. Boris Lukatskiy 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 Boris Lukatskiy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boris Lukatskiy reassigns Medicare benefits to 2 organizations: Upstate Medical Anesthesiology Group, Inc. (Syracuse, NY) and The Milton S Hershey Medical Center Physicians Group (Hershey, PA). 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 Boris Lukatskiy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Boris Lukatskiy affiliated with any hospitals?

According to CMS data, Boris Lukatskiy is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Boris Lukatskiy was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.