IHOR ANDRIUSHCHENKO
NPI 1457056236
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ihor Andriushchenko NPPES

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

IHOR ANDRIUSHCHENKO (NPI 1457056236) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457056236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIHOR ANDRIUSHCHENKO
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3198
Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3198 · (718) 240-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
✔ NPI 1457056236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BROOKDALE PLZ, Brooklyn, NY 11212

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

Ihor Andriushchenko 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 ID2567928617
PECOS Enrollment IDI20260729001084
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.

Medicare Billing Reassignment

Medicare enrollment records show Ihor Andriushchenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 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.

Hospital Affiliations CMS Care Compare

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

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

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.

Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212
Personal Emergency Response Attendant
1 BROOKDALE PLZ
BROOKLYN, NY 11212

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 Ihor Andriushchenko's NPI number?

The NPI number for Ihor Andriushchenko is 1457056236. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Ihor Andriushchenko located?

Ihor Andriushchenko practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.

What is Ihor Andriushchenko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ihor Andriushchenko enrolled in Medicare?

Yes. Ihor Andriushchenko 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 organization bills Medicare for Ihor Andriushchenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ihor Andriushchenko reassigns Medicare benefits to Maimonides Faculty Practice Plan (Brooklyn, NY). The 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 Ihor Andriushchenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ihor Andriushchenko affiliated with any hospitals?

According to CMS data, Ihor Andriushchenko is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Ihor Andriushchenko was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.