DR. ANDREY OSTATNIGROSH DC
NPI 1447074448
Chiropractor in Fresno, CA

Active since November 14, 2024Accepts Medicare Assignment
5717 N 1ST ST, FRESNO, CA 93710(559) 246-0090 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andrey Ostatnigrosh Dc NPPES

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

DR. ANDREY OSTATNIGROSH DC (NPI 1447074448) is an individual chiropractor in Fresno, California, licensed in California (DC37116) and active in the NPI registry since November 2024. He is a graduate of Los Angeles College Of Chiropractic (2024).

NPPES Registry Identity

NPI1447074448
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDREY OSTATNIGROSHCredential: DC
Location Address5717 N 1ST STFresno, CA 93710-6203
Mailing Address487 S Oak Glen AveNipomo, CA 93444-9010
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 2024
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1447074448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC37116
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5717 N 1ST ST, Fresno, CA 93710

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. Andrey Ostatnigrosh Dc 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 ID3577099969
PECOS Enrollment IDI20241209002768

Medicare Billing Reassignments

2

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

Chiropractor
4070 WEST ST
Cambria, CA 93428
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
Sports Physician
487 S OAK GLEN AVE
Nipomo, CA 93444
  • Reassigned Medicare billing, California enrollment
  • 2 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.

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 Andrey Ostatnigrosh's NPI number?

The NPI number for Andrey Ostatnigrosh is 1447074448. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Andrey Ostatnigrosh located?

Andrey Ostatnigrosh practices at 5717 N 1st St, Fresno, CA 93710. The listed phone number is (559) 246-0090.

What is Andrey Ostatnigrosh's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Andrey Ostatnigrosh enrolled in Medicare?

Yes. Andrey Ostatnigrosh 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 Andrey Ostatnigrosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrey Ostatnigrosh reassigns Medicare benefits to 2 organizations: Diaso Chiropractic Professional Corporation (Cambria, CA) and Ostatnigrosh Williams Chiropractic Professional Corporation (Nipomo, 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 Andrey Ostatnigrosh'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 Andrey Ostatnigrosh was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.