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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.

GIANNA SUYUNOVA MD PLLC
NPI 1811649635
Pediatrics in Fresh Meadows, NY

Active since January 23, 2022CLIA 33D2285120 · Waiver
18904 UNION TPKE FL 1, FRESH MEADOWS, NY 11366(347) 201-5507(646) 233-3781 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Sep 9, 2022, Jan 23, 2022 (3 updates tracked since 2022).

About Gianna Suyunova Md Pllc NPPES

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

GIANNA SUYUNOVA MD PLLC (NPI 1811649635) is a healthcare organization registered as a pediatrics in Fresh Meadows, New York and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Gianna Suyunova, Owner, as its authorized official.

NPPES Registry Identity

NPI1811649635
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGIANNA SUYUNOVA MD PLLC
Location Address18904 UNION TPKE FL 1Fresh Meadows, NY 11366-1862
Mailing Address5 Landaulette CtMelville, NY 11747-1925 · (646) 915-4705
Phone(347) 201-5507
Fax(646) 233-3781
Organization SubpartNo
Authorized OfficialGianna SuyunovaOwner · (347) 201-5507
Enumeration DateJanuary 23, 2022
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1811649635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
18904 UNION TPKE FL 1, Fresh Meadows, NY 11366
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gianna Suyunova Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gianna Suyunova MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gianna Suyunova, MD
Pediatric Medicine
NPI 1790133064
18904 UNION TPKE FL 1
Fresh Meadows, NY 11366
(347) 201-5507
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2285120

Gianna Suyunova MD PLLC · Fresh Meadows, NY
Active · expires Jul 5, 2027
CLIA Number33D2285120
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDr. Gianna Suyunova
Laboratory Phone(347) 201-5507
Laboratory LocationGianna Suyunova MD PLLC189-04 Union Turnpike Floor 1, Fresh Meadows, NY 11366
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gianna Suyunova MD PLLC's NPI number?

The NPI number for Gianna Suyunova MD PLLC is 1811649635. It was assigned to this organization in the NPPES registry on January 23, 2022.

Where is Gianna Suyunova MD PLLC located?

Gianna Suyunova MD PLLC is located at 18904 Union Tpke Fl 1, Fresh Meadows, NY 11366. The listed phone number is (347) 201-5507.

What is Gianna Suyunova MD PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gianna Suyunova MD PLLC enrolled in Medicare?

Yes. Gianna Suyunova MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gianna Suyunova MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Gianna Suyunova MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gianna Suyunova MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2285120) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gianna Suyunova MD PLLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.