VLADISLAV G GROYSMAN DO
NPI 1962187807
Internal Medicine in Tacoma, WA

Active since June 19, 2023PECOS Enrolled

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vladislav G Groysman Do NPPES

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

VLADISLAV G GROYSMAN DO (NPI 1962187807) is an individual internal medicine provider in Tacoma, Washington, licensed in Washington (OL61443656) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1962187807
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVLADISLAV G GROYSMANCredential: DO
Location Address1717 S J STTacoma, WA 98405-4933
Mailing Address1515 Tacoma Ave S Apt 221Tacoma, WA 98402-1823 · (646) 322-0494
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2023
Enumeration DateJune 19, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1962187807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · OL61443656
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1717 S J ST, Tacoma, WA 98405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vladislav G Groysman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426538240
PECOS Enrollment IDI20260831004135
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.

Medicare Billing Reassignment

Medicare enrollment records show Vladislav Groysman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
1100 9TH AVE
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 20

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

Registered Nurse
1717 S J ST
TACOMA, WA 98405
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Physician Assistant
1717 S J ST
TACOMA, WA 98405
Internal Medicine
1717 S J ST
TACOMA, WA 98405
Pharmacist
1717 S J ST
TACOMA, WA 98405
Registered Nurse (Obstetric, Inpatient)
1717 S J ST
TACOMA, WA 98405
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Nurse Practitioner (Gerontology)
1717 S J ST
TACOMA, WA 98405

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 Vladislav Groysman's NPI number?

The NPI number for Vladislav Groysman is 1962187807. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Vladislav Groysman located?

Vladislav Groysman practices at 1717 S J St, Tacoma, WA 98405. The listed phone number is (253) 426-4101.

What is Vladislav Groysman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vladislav Groysman enrolled in Medicare?

Yes. Vladislav Groysman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vladislav Groysman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vladislav Groysman reassigns Medicare benefits to Virginia Mason Medical Center (Seattle, WA). The 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 Vladislav Groysman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vladislav Groysman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Vladislav Groysman 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 Vladislav Groysman was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.