ROMAN YUSUPOV MD
NPI 1972703676
Medical Genetics - Clinical Genetics (M.D.) in Hollywood, FL

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
1131 N 35TH AVE FL 2, HOLLYWOOD, FL 33021(954) 265-6319(954) 276-0166 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2021, Sep 24, 2020, Jun 25, 2018 (3 updates tracked since 2018).

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

NPI1972703676
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameROMAN YUSUPOVCredential: MD
Location Address1131 N 35TH AVE FL 2Hollywood, FL 33021-5403
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 276-0166
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 20, 2007
Last NPPES UpdateMarch 16, 20213 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1972703676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License Licensed in FL · ME 107047
Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

1131 N 35TH AVE FL 2, Hollywood, FL 33021

Secondary Practice Locations 2

Location 14651 Sheridan St Ste 150Hollywood, FL 33021-3443 · Phone (954) 265-6331 · Fax (954) 893-6244
Location 23377 S State Rd 7, Suite 100Wellington, FL 33449 · Phone (561) 341-7000 · Fax (561) 784-7098

Other Identifiers 1

Medicaid017236900FL

Accepted Insurance

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

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.

PECOS PAC ID941487136
PECOS Enrollment IDI20110616000271
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.

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.

Medical Genetics (Clinical Genetics (M.D.))
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Medical Genetics (Clinical Genetics (M.D.))
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Allergy & Immunology
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Pediatrics (Pediatric Nephrology)
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Dietitian, Registered
1131 N 35TH AVE FL 2
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.

What insurance does Roman Yusupov accept?

Health plans from 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 with the weekly NPPES data releases published by CMS.