DR. POLINA REYBLAT MD
NPI 1730281593
Urology in Los Angeles, CA

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, GH 5900, LOS ANGELES, CA 90089(323) 226-7335(323) 226-7927 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Polina Reyblat Md NPPES

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

DR. POLINA REYBLAT MD (NPI 1730281593) is an individual urology provider in Los Angeles, California, licensed in California (A88234) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2003).

NPPES Registry Identity

NPI1730281593
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. POLINA REYBLATCredential: MD
Location Address1200 N STATE ST, GH 5900Los Angeles, CA 90089-1001
Mailing Address1200 N State St, Gh 5900Los Angeles, CA 90089-1001 · (323) 226-7335 · Fax (323) 226-7927
Fax(323) 226-7927
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2003
Enumeration DateSeptember 2, 2006
Last NPPES UpdateDecember 8, 2021
NPI 1730281593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A88234
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1200 N STATE ST, Los Angeles, CA 90089

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. Polina Reyblat 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 ID7113070715
PECOS Enrollment IDI20090729000667
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 90089 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Dermatology
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089

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 Polina Reyblat's NPI number?

The NPI number for Polina Reyblat is 1730281593. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Polina Reyblat located?

Polina Reyblat practices at 1200 N State St Gh 5900, Los Angeles, CA 90089. The listed phone number is (323) 226-7335.

What is Polina Reyblat's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Polina Reyblat enrolled in Medicare?

Yes. Polina Reyblat 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 Polina Reyblat was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.