NPI Details
DR. Maryanna Polukhin, M.D. is an internal medicine in Newington, CT with 39 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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Physician or allowed practitioner 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 a (HCPCS:G0179)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Physician or allowed practitioner 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 and (HCPCS:G0180)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of pneumococcal vaccine (HCPCS:G0009)
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 034968 | CONNECTICUT | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1255448155 | OTHER | CONNECTICUT | GHMC GROUP NPI ID |
| 2 | 060118 | OTHER | CONNECTICUT | HEALTH NET |
| 3 | 110182439 | OTHER | CONNECTICUT | RAIL ROAD MEDICARE |
| 4 | 010034968CT04 | OTHER | CONNECTICUT | BCBS & BCFP PROV ID |
| 5 | C01373 | MEDICARE ID-TYPE UNSPECIFIED | CONNECTICUT | GHMC GROUP MEDICARE ID |
| 6 | 004215324 | MEDICAID | CONNECTICUT | |
| 7 | 5247130 | OTHER | CONNECTICUT | AETNA |
| 8 | 001349689 | MEDICAID | CONNECTICUT | |
| 9 | P369816 | OTHER | CONNECTICUT | OXFORD |
| 10 | G18875 | MEDICARE UPIN | | |
| 11 | 110006011 | MEDICARE ID-TYPE UNSPECIFIED | CONNECTICUT | |
| 12 | 349680 | OTHER | CONNECTICUT | CONNECTICARE |
| 13 | 01034968 | OTHER | CONNECTICUT | CIGNA |
