DR. ALEXANDRA SHUSTINA DO
NPI 1861629495
Internal Medicine - Gastroenterology in New York, NY
About Dr. Alexandra Shustina Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDRA SHUSTINA DO (NPI 1861629495) is an individual gastroenterology provider in New York, New York, licensed in New York (255074-1) and active in the NPI registry since June 2009. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Alexandra Shustina Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Alexandra Shustina's NPI number?
The NPI number for Alexandra Shustina is 1861629495. It was assigned to this individual provider in the NPPES registry on June 22, 2009.
Where is Alexandra Shustina located?
Alexandra Shustina practices at 506 Malcolm X Blvd Harlem Hospital, New York, NY 10037. The listed phone number is (212) 939-1430.
What is Alexandra Shustina's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Alexandra Shustina enrolled in Medicare?
No. Alexandra Shustina has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Alexandra Shustina was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Alexandra Shustina, DO · NPI 1861629495
Gastroenterology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 22, 2009.
## Identity
- **NPI:** 1861629495 (Entity type: Individual)
- **Enumerated:** June 22, 2009
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 255074-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 MALCOLM X BLVD, HARLEM HOSPITAL, New York, NY 10037
- **Phone:** (212) 939-1430
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 31, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1861629495) · Data from the CMS NPPES public registry.