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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Polina Reyblat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 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 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.

Which organization bills Medicare for Polina Reyblat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polina Reyblat reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Polina Reyblat'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 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.