DMITRIY REZNIK P.A.
NPI 1851475776
Physician Assistant in Fort Lauderdale, FL

Active since October 25, 2006PECOS Enrolled
101 NE 3RD AVE STE 1500, FORT LAUDERDALE, FL 33301(954) 247-8790(877) 594-6196 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Jul 6, 2021, Jan 19, 2016 (3 updates tracked since 2016).

About Dmitriy Reznik P.a. NPPES

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

DMITRIY REZNIK P.A. (NPI 1851475776) is an individual physician assistant in Fort Lauderdale, Florida, licensed in Florida (PA9117176) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1851475776
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDMITRIY REZNIKCredential: P.A.
Location Address101 NE 3RD AVE STE 1500Fort Lauderdale, FL 33301-1181
Mailing Address3031 Telegraph AveOakland, CA 94609-3205 · (510) 596-8125 · Fax (510) 225-2745
Fax(877) 594-6196
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1851475776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9117176 Licensed in CA · 57357 Licensed in IL · 085.002843 Licensed in NY · 019136
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

101 NE 3RD AVE STE 1500, Fort Lauderdale, FL 33301

Secondary Practice Location 1

Location 13031 Telegraph AveOakland, CA 94609-3205 · Phone (510) 596-8125

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dmitriy Reznik P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33301 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 3

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

Counselor (Mental Health)
101 NE 3RD AVE STE 1500
FORT LAUDERDALE, FL 33301
Counselor (Mental Health)
101 NE 3RD AVE STE 1500
FORT LAUDERDALE, FL 33301
Psychiatry & Neurology (Psychiatry)
101 NE 3RD AVE STE 1500
FORT LAUDERDALE, FL 33301

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 Dmitriy Reznik's NPI number?

The NPI number for Dmitriy Reznik is 1851475776. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Dmitriy Reznik located?

Dmitriy Reznik practices at 101 NE 3rd Ave Ste 1500, Fort Lauderdale, FL 33301. The listed phone number is (954) 247-8790.

What is Dmitriy Reznik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dmitriy Reznik enrolled in Medicare?

Yes. Dmitriy Reznik is registered in the Medicare PECOS enrollment system.

What insurance does Dmitriy Reznik accept?

Health plans from UnitedHealthcare list Dmitriy Reznik 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.

When was this NPI record last updated?

The NPPES record for Dmitriy Reznik was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.