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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GENNADIY FUZAYLOV MD
NPI 1720079627
Anesthesiology in Boston, MA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST, CLN 309, BOSTON, MA 02114(617) 726-3030(617) 726-7536 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gennadiy Fuzaylov Md NPPES

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

DR. GENNADIY FUZAYLOV MD (NPI 1720079627) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (210490) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1720079627
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. GENNADIY FUZAYLOVCredential: MD
Location Address55 FRUIT ST, CLN 309Boston, MA 02114-2696
Mailing AddressPo Box 9142Charlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Phone(617) 726-3030
Fax(617) 726-7536
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1720079627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 210490
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
55 FRUIT ST, Boston, MA 02114
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Other Identifiers 3

Medicaid0180394MA
OtherJ25410MA · Bcbs Ma
Other210490MA · Tufts Health Plan

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

Dr. Gennadiy Fuzaylov Md 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 ID1557542198
PECOS Enrollment IDI20110302000120
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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Gennadiy Fuzaylov's NPI number?

The NPI number for Gennadiy Fuzaylov is 1720079627. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Gennadiy Fuzaylov located?

Gennadiy Fuzaylov practices at 55 Fruit St Cln 309, Boston, MA 02114. The listed phone number is (617) 726-3030.

What is Gennadiy Fuzaylov's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Gennadiy Fuzaylov enrolled in Medicare?

Yes. Gennadiy Fuzaylov 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.

When was this NPI record last updated?

The NPPES record for Gennadiy Fuzaylov was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.