LARISA GUMEROVA PA-C
NPI 1699061986
Physician Assistant - Medical in Staten Island, NY
About Larisa Gumerova Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISA GUMEROVA PA-C (NPI 1699061986) is an individual medical provider in Staten Island, New York, licensed in New York (025790) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Larisa Gumerova Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New York-Presbyterian Hospital
Acute Care Hospitals · New York, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Larisa Gumerova's NPI number?
The NPI number for Larisa Gumerova is 1699061986. It was assigned to this individual provider in the NPPES registry on June 24, 2011.
Where is Larisa Gumerova located?
Larisa Gumerova practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-5885.
What is Larisa Gumerova's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Larisa Gumerova enrolled in Medicare?
Yes. Larisa Gumerova 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.
Is Larisa Gumerova affiliated with any hospitals?
According to CMS data, Larisa Gumerova is affiliated with New York-Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Larisa Gumerova was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Larisa Gumerova, PA-C · NPI 1699061986
Medical physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since June 24, 2011.
## Identity
- **NPI:** 1699061986 (Entity type: Individual)
- **Enumerated:** June 24, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 025790 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 475 SEAVIEW AVE, Staten Island, NY 10305-3436
- **Phone:** (718) 226-5885
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699061986) · Data from the CMS NPPES public registry.