ROMAN YUSUPOV MD
NPI 1972703676
Medical Genetics - Clinical Genetics (M.D.) in Hollywood, FL
About Roman Yusupov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROMAN YUSUPOV MD (NPI 1972703676) is an individual clinical genetics (m.d.) provider in Hollywood, Florida, licensed in Florida (ME 107047) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roman Yusupov Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Roman Yusupov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hollywood, FL 33021
- Reassigned Medicare billing, Florida enrollment
- 73 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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
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 Roman Yusupov's NPI number?
The NPI number for Roman Yusupov is 1972703676. It was assigned to this individual provider in the NPPES registry on July 20, 2007.
Where is Roman Yusupov located?
Roman Yusupov practices at 1131 N 35th Ave Fl 2, Hollywood, FL 33021. The listed phone number is (954) 265-6319.
What is Roman Yusupov's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Roman Yusupov enrolled in Medicare?
Yes. Roman Yusupov 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.
Which organization bills Medicare for Roman Yusupov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roman Yusupov reassigns Medicare benefits to South Broward Hospital District (Hollywood, FL). 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 Roman Yusupov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roman Yusupov accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Roman Yusupov 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 Roman Yusupov was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Roman Yusupov, MD · NPI 1972703676
Clinical Genetics (M.D.) physician in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since July 20, 2007.
## Identity
- **NPI:** 1972703676 (Entity type: Individual)
- **Enumerated:** July 20, 2007
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** ME 107047 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1131 N 35TH AVE FL 2, Hollywood, FL 33021-5403
- **Phone:** (954) 265-6319 · **Fax:** (954) 276-0166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Broward Hospital District (NPI 1356359798, Hollywood, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 16, 2021
- **Other identifiers:** Medicaid 017236900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1972703676) · Data from the CMS NPPES public registry.