ROMAN FAYZIBAYEV FNP
NPI 1467183749
Nurse Practitioner - Family in Flushing, NY
About Roman Fayzibayev Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROMAN FAYZIBAYEV FNP (NPI 1467183749) is an individual family provider in Flushing, New York, licensed in New York (F349255-01) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 (PECOS)
Roman Fayzibayev Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Roman Fayzibayev reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Forest Hills, NY 11375
- Reassigned Medicare billing, New York enrollment
- 37 clinicians in this Medicare group
Howard Beach, NY 11414
- Reassigned Medicare billing, New York enrollment
- 28 clinicians in this Medicare group
Brooklyn, NY 11221
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Ag Urgent Care PC
- 17 clinicians in this Medicare group
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Kings Medical Family Practice, P.C.
- 22 clinicians in this Medicare group
Brooklyn, NY 11205
- Reassigned Medicare billing, New York enrollment
- 73 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Brooklyn, NY 11231
- Reassigned Medicare billing, New York enrollment
- 60 clinicians in this Medicare group
Brooklyn, NY 11218
- Reassigned Medicare billing, New York enrollment
- 39 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
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 11367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Roman Fayzibayev's NPI number?
The NPI number for Roman Fayzibayev is 1467183749. It was assigned to this individual provider in the NPPES registry on June 18, 2022.
Where is Roman Fayzibayev located?
Roman Fayzibayev practices at 15333 78th Rd, Flushing, NY 11367. The listed phone number is (646) 508-3644.
What is Roman Fayzibayev's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Roman Fayzibayev enrolled in Medicare?
Yes. Roman Fayzibayev is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Roman Fayzibayev's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roman Fayzibayev reassigns Medicare benefits to 8 organizations: Ajay 28 LLC (Forest Hills, NY), Excel Urgent Care Of Astoria PLLC (Howard Beach, NY), Ag Urgent Care, P.C. (Brooklyn, NY), Kings Medical Family Practice PC (Brooklyn, NY), Prominis Medical Services PC (Brooklyn, NY) and 3 more organizations, listed in the Medicare section above. 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 Roman Fayzibayev'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 Roman Fayzibayev was last updated on June 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Roman Fayzibayev, FNP · NPI 1467183749
Family physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since June 18, 2022.
## Identity
- **NPI:** 1467183749 (Entity type: Individual)
- **Enumerated:** June 18, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F349255-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15333 78TH RD, Flushing, NY 11367-3541
- **Phone:** (646) 508-3644
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Ajay 28 LLC (NPI 1609342898, Forest Hills, NY); Excel Urgent Care Of Astoria PLLC (NPI 1235434036, Howard Beach, NY); Ag Urgent Care, P.C. (NPI 1992116701, Brooklyn, NY); Kings Medical Family Practice PC (NPI 1316461387, Brooklyn, NY); Prominis Medical Services PC (NPI 1841323771, Brooklyn, NY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 18, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1467183749) · Data from the CMS NPPES public registry.