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TATYANA KOVALEVSKIJ
NPI 1487269346
Physician Assistant in San Rafael, CA

Active since September 08, 2020PECOS Enrolled
50 ACACIA AVE, SAN RAFAEL, CA 94901(415) 457-4440 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2026, Sep 8, 2020 (2 updates tracked since 2020).

About Tatyana Kovalevskij NPPES

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

TATYANA KOVALEVSKIJ (NPI 1487269346) is an individual physician assistant in San Rafael, California, licensed in California (PA60763) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487269346
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTATYANA KOVALEVSKIJ
Location Address50 ACACIA AVESan Rafael, CA 94901-2230
Mailing Address604 Stoneyford DrDaly City, CA 94015-3709 · (415) 361-1901
Phone(415) 457-4440
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 8, 2020
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1487269346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA60763
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
50 ACACIA AVE, San Rafael, CA 94901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatyana Kovalevskij is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032697040
PECOS Enrollment IDI20260131000398
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

MIGUEL SERRATO ATC OT-C
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
LAYLA MARY ZEIDAN
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
MICHELLE MOTA
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
THI TRAN PA-C
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
EMILY GAO
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
TRICIA HO
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
ROLAND JONATHAN CASIQUIN
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
CHANTILAY RUFFIN
Physician Assistant
50 ACACIA AVE, MEADOWLANDS 302
SAN RAFAEL, CA 94901
Marin County (415) 482-3571

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 Tatyana Kovalevskij's NPI number?

The NPI number for Tatyana Kovalevskij is 1487269346. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Tatyana Kovalevskij located?

Tatyana Kovalevskij practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 457-4440.

What is Tatyana Kovalevskij's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tatyana Kovalevskij enrolled in Medicare?

Yes. Tatyana Kovalevskij is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatyana Kovalevskij was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.