ALEXANDRA PANYUKOVA MD
NPI 1639850068
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Q: What is Alexandra Panyukova's NPI number?

The NPI number for Alexandra Panyukova is 1639850068. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Alexandra Panyukova's specialty?

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

Active since July 27, 2023PECOS Enrolled

160 ROBBINS ST, WATERBURY, CT 06708(203) 573-7284(203) 573-7031 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Alexandra Panyukova Md NPPES

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

ALEXANDRA PANYUKOVA MD (NPI 1639850068) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639850068

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRA PANYUKOVACredential: MD

Location Address160 ROBBINS STWaterbury, CT 06708-2652

Mailing Address64 Robbins StWaterbury, CT 06708-2600 · (203) 573-6162 · Fax (203) 573-6707

Phone(203) 573-7284

Fax(203) 573-7031

Sole ProprietorNo

Enumeration DateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1639850068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

160 ROBBINS ST, Waterbury, CT 06708

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Panyukova Md 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.

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.

VALERIIA DINDIKOVA MD

Student in an Organized Health Care Education/Training Program