POLINA MEDVEDEVA
NPI 1902288798
Obstetrics & Gynecology in Elmhurst, NY

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
8831 55TH AVE STE 201, ELMHURST, NY 11373(718) 899-6600(718) 606-3881 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Mar 2, 2022, Sep 23, 2021 and 1 more (4 updates tracked since 2021).

About Polina Medvedeva NPPES

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

POLINA MEDVEDEVA (NPI 1902288798) is an individual obstetrics & gynecology provider in Elmhurst, New York, licensed in New York (298999) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902288798
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePOLINA MEDVEDEVA
Location Address8831 55TH AVE STE 201Elmhurst, NY 11373-4686
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 606-3881
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 29, 2015
Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1902288798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 298999
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8831 55TH AVE STE 201, Elmhurst, NY 11373

Secondary Practice Locations 4

Location 1215 E 95th St Frnt 1New York, NY 10128-4077 · Phone (212) 996-8000 · Fax (212) 423-3904
Location 2180-05 Hillside AveJamaica, NY 11432-4727 · Phone (718) 526-6300 · Fax (718) 286-3863
Location 3447 Atlantic AveBrooklyn, NY 11217-1702 · Phone (718) 858-6300 · Fax (718) 858-0145
Location 431-75 23rd StreetAstoria, NY 11106-4134 · Phone (718) 956-2200 · Fax (718) 956-2316

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Polina Medvedeva 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 ID1456686039
PECOS Enrollment IDI20190718002801
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.

Areas of Expertise CMS Part B claims 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services25 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 13

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

Internal Medicine (Cardiovascular Disease)
8831 55TH AVE STE 201
ELMHURST, NY 11373
Pediatrics
8831 55TH AVE STE 201
ELMHURST, NY 11373
Podiatrist
8831 55TH AVE STE 201
ELMHURST, NY 11373
Family Medicine
8831 55TH AVE STE 201
ELMHURST, NY 11373
Ophthalmology
8831 55TH AVE STE 201
ELMHURST, NY 11373
Ophthalmology
8831 55TH AVE STE 201
ELMHURST, NY 11373
Nurse Practitioner (Family)
8831 55TH AVE STE 201
ELMHURST, NY 11373
Nurse Practitioner (Family)
8831 55TH AVE STE 201
ELMHURST, NY 11373

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 Medvedeva's NPI number?

The NPI number for Polina Medvedeva is 1902288798. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Polina Medvedeva located?

Polina Medvedeva practices at 8831 55th Ave Ste 201, Elmhurst, NY 11373. The listed phone number is (718) 899-6600.

What is Polina Medvedeva's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Polina Medvedeva enrolled in Medicare?

Yes. Polina Medvedeva 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.

Is Polina Medvedeva affiliated with any hospitals?

According to CMS data, Polina Medvedeva is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Polina Medvedeva was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.