Provider Type Icon

DR. MARYANNA POLUKHIN M.D. NPI 1881688034


NPI Information

NPI: 1881688034
Provider Name: DR. MARYANNA POLUKHIN, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: STARLING PHYSICIANS PC

PECOS Registration: Yes

Address:
18 CEDAR ST
GROVE HILL MEDICAL CENTER
NEWINGTON, CT
ZIP 06111
Phone: (860) 666-5252
Get Directions

DR. Maryanna Polukhin, M.D. is an internal medicine in Newington, CT with 37 years of experience. The provider is 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. DR. Maryanna Polukhin, M.D. NPI is 1881688034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

18 CEDAR ST
GROVE HILL MEDICAL CENTER
NEWINGTON, CT
ZIP 06111-647
Phone: (860) 666-5252
Fax: (860) 666-5153

The NPI 1881688034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

The enumeration date for this NPI number is 9/2/2005 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine034968CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11255448155OTHERCONNECTICUTGHMC GROUP NPI ID
2060118OTHERCONNECTICUTHEALTH NET
3110182439OTHERCONNECTICUTRAIL ROAD MEDICARE
4010034968CT04OTHERCONNECTICUTBCBS & BCFP PROV ID
5C01373MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTGHMC GROUP MEDICARE ID
6004215324MEDICAIDCONNECTICUT
75247130OTHERCONNECTICUTAETNA
8001349689MEDICAIDCONNECTICUT
9P369816OTHERCONNECTICUTOXFORD
10G18875MEDICARE UPIN
11110006011MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
12349680OTHERCONNECTICUTCONNECTICARE
1301034968OTHERCONNECTICUTCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.