DR. VITALY GENNADIEVICH NAZAROV MD
NPI 1760469084
Internal Medicine in Kingsport, TN
About Dr. Vitaly Gennadievich Nazarov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VITALY GENNADIEVICH NAZAROV MD (NPI 1760469084) is an individual internal medicine provider in Kingsport, Tennessee, licensed in Missouri (2017038349) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
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. Vitaly Gennadievich Nazarov 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.
Medicare Billing Reassignments
11Medicare enrollment records show Vitaly Nazarov reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 861 clinicians in this Medicare group
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee and Virginia enrollments
- Also billed through NPI 1962434068 (Virginia)
- 496 clinicians in this Medicare group
Greeneville, TN 37745
- Reassigned Medicare billing, Tennessee enrollment
- 1,003 clinicians in this Medicare group
Greeneville, TN 37745
- Reassigned Medicare billing, Tennessee enrollment
- 35 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky and Tennessee enrollments
- 358 clinicians in this Medicare group
Laurens, SC 29360
- Reassigned Medicare billing, South Carolina enrollment
- 560 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 181 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, South Carolina enrollment
- 311 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 529 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Tennessee enrollment
- 581 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Self Regional Healthcare
Acute Care Hospitals · Greenwood, SCGreeneville Community Hospital
Acute Care Hospitals · Greeneville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
KINGSPORT, TN 37660
KINGSPORT, TN 37660
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 Vitaly Nazarov's NPI number?
The NPI number for Vitaly Nazarov is 1760469084. It was assigned to this individual provider in the NPPES registry on December 28, 2005.
Where is Vitaly Nazarov located?
Vitaly Nazarov practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-3628.
What is Vitaly Nazarov's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Vitaly Nazarov enrolled in Medicare?
Yes. Vitaly Nazarov 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 Vitaly Nazarov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vitaly Nazarov reassigns Medicare benefits to 11 organizations: Wellmont Medical Associates, Inc. (Kingsport, TN), Blue Ridge Medical Management (Kingsport, TN), Summit Medical Group, PLLC (Greeneville, TN), Tusculum Physician Services PC (Greeneville, TN), Southeastern Physician Services PC (Oak Ridge, TN) and 6 more organizations, listed in the Medicare section above. 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 Vitaly Nazarov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vitaly Nazarov accept?
Health plans from BlueCross BlueShield of South Carolina, Oscar Health, Oscar Health Plan, Inc. and Oscar Insurance Company list Vitaly Nazarov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Vitaly Nazarov affiliated with any hospitals?
According to CMS data, Vitaly Nazarov is affiliated with Self Regional Healthcare and Greeneville Community Hospital.
When was this NPI record last updated?
The NPPES record for Vitaly Nazarov was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Vitaly Gennadievich Nazarov, MD · NPI 1760469084
Internal Medicine physician in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since December 28, 2005.
## Identity
- **NPI:** 1760469084 (Entity type: Individual)
- **Enumerated:** December 28, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2017038349 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 W RAVINE RD, Kingsport, TN 37660-3837
- **Phone:** (423) 224-3628 · **Fax:** (423) 230-8502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Wellmont Medical Associates, Inc. (NPI 1598124398, Kingsport, TN); Blue Ridge Medical Management (NPI 1295143378, Kingsport, TN); Summit Medical Group, PLLC (NPI 1689753212, Greeneville, TN); Tusculum Physician Services PC (NPI 1013895192, Greeneville, TN); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** November 21, 2025
- **Other identifiers:** Other 4122077 (TN); Other TN0119 (TN); Medicaid 3334533 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1760469084) · Data from the CMS NPPES public registry.