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VIKTORIYA YUSUPOVA PA-C
NPI 1609452671
Physician Assistant in Brooklyn, NY

Active since March 22, 2021PECOS Enrolled
504 MYRTLE AVE, BROOKLYN, NY 11205(718) 400-9633 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Jan 24, 2022, Mar 22, 2021 (3 updates tracked since 2021).

About Viktoriya Yusupova Pa-c NPPES

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

VIKTORIYA YUSUPOVA PA-C (NPI 1609452671) is an individual physician assistant in Brooklyn, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609452671
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVIKTORIYA YUSUPOVACredential: PA-C
Location Address504 MYRTLE AVEBrooklyn, NY 11205-3542
Mailing Address504 Brooklyn AveBrooklyn, NY 11225
Phone(718) 400-9633
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1609452671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
504 MYRTLE AVE, Brooklyn, NY 11205
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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)

Viktoriya Yusupova Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11205 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA EISMAN OTD, OTR/L
Occupational Therapist
504 MYRTLE AVE
BROOKLYN, NY 11205
Kings County (646) 337-2710
YULIYA GORDITSA PA
Physician Assistant
504 MYRTLE AVE
BROOKLYN, NY 11205
Kings County (718) 400-9633
RITE MEDICAL CARE PC
Clinic/Center
504 MYRTLE AVE
BROOKLYN, NY 11205
Kings County (718) 534-0689

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 Viktoriya Yusupova's NPI number?

The NPI number for Viktoriya Yusupova is 1609452671. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Viktoriya Yusupova located?

Viktoriya Yusupova practices at 504 Myrtle Ave, Brooklyn, NY 11205. The listed phone number is (718) 400-9633.

What is Viktoriya Yusupova's specialty?

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

Is Viktoriya Yusupova enrolled in Medicare?

Yes. Viktoriya Yusupova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Viktoriya Yusupova was last updated on July 27, 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.