LYALYA LOGUSH NP
NPI 1689390312
Nurse Practitioner - Family in New York, NY

Active since October 14, 2022PECOS EnrolledAccepts Medicare Assignment
700 COLUMBUS AVE APT 7H, NEW YORK, NY 10025(646) 295-2542 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, Oct 14, 2022 (2 updates tracked since 2022).

About Lyalya Logush Np NPPES

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

LYALYA LOGUSH NP (NPI 1689390312) is an individual family provider in New York, New York, licensed in New York (F350496) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689390312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYALYA LOGUSHCredential: NP
Location Address700 COLUMBUS AVE APT 7HNew York, NY 10025-6623
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2022
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1689390312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F350496
700 COLUMBUS AVE APT 7H, New York, NY 10025

Secondary Practice Location 1

Location 1215 E 95th St Frnt 1New York, NY 10128-4077 · Phone (212) 996-8000 · Fax (212) 423-3904

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

Lyalya Logush Np 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 ID8527432491
PECOS Enrollment IDI20230315001687
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 Reassignments

3

Medicare enrollment records show Lyalya Logush reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lyalya Logush's NPI number?

The NPI number for Lyalya Logush is 1689390312. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Lyalya Logush located?

Lyalya Logush practices at 700 Columbus Ave Apt 7H, New York, NY 10025. The listed phone number is (646) 295-2542.

What is Lyalya Logush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lyalya Logush enrolled in Medicare?

Yes. Lyalya Logush 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 organizations bill Medicare for Lyalya Logush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyalya Logush reassigns Medicare benefits to 3 organizations: Advantagecare Physicians PC (New York, NY), Trustees Of Columbia University In The City Of New York (New York, NY) and Brookview Medical Associates, PLLC (Bohemia, NY). 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 Lyalya Logush'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 Lyalya Logush was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.