MIHAIL MEDVEDOVSKY PHYSICIAN PC
NPI 1942304001
Family Medicine in Brooklyn, NY
About Mihail Medvedovsky Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIHAIL MEDVEDOVSKY PHYSICIAN PC (NPI 1942304001) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Mihail Medvedovsky, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mihail Medvedovsky Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Mihail Medvedovsky Physician PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 393 Fl, NY 11229
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 33D1003661
Mihail Medvedovsky Physician PC · Brooklyn, NYFrequently 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 Mihail Medvedovsky Physician PC's NPI number?
The NPI number for Mihail Medvedovsky Physician PC is 1942304001. It was assigned to this organization in the NPPES registry on September 11, 2006.
Where is Mihail Medvedovsky Physician PC located?
Mihail Medvedovsky Physician PC is located at 3039 Ocean Pkwy, Brooklyn, NY 11235. The listed phone number is (718) 946-9070.
What is Mihail Medvedovsky Physician PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mihail Medvedovsky Physician PC enrolled in Medicare?
Yes. Mihail Medvedovsky Physician PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mihail Medvedovsky Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 15 Medicare specialties reassign their Medicare billing to Mihail Medvedovsky Physician PC. 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. The largest specialties are Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (6) and Urology (5). Of these, 4 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mihail Medvedovsky Physician PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1003661) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mihail Medvedovsky Physician PC was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mihail Medvedovsky Physician Pc · NPI 1942304001
Family Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since September 11, 2006.
## Identity
- **NPI:** 1942304001 (Entity type: Organization)
- **Enumerated:** September 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mihail Medvedovsky, PRESIDENT
## Practice location
- **Address:** 3039 OCEAN PKWY, Brooklyn, NY 11235-8370
- **Phone:** (718) 946-9070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (6), Urology (5); 4 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1942304001/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2008
- **Other identifiers:** Medicare ID-Type Unspecified W35611 (NY); Medicaid 02156169 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942304001) · Data from the CMS NPPES public registry.