Tetiana Ustinov
NPI 1124606421ActiveIndividual· Student in an Organized Health Care Education/Training Program· Brooklyn, NY
Student in an Organized Health Care Education/Training Program with My Medical PC and 1 other group, practicing in Brooklyn, New York. Enrolled in Medicare as practitioner - internal medicine.
Overview
| NPI | 1124606421 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Mar 30, 2021 |
| Certified by provider | Mar 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- My Medical PCBrentwood, NY · 94 clinicians
- Peyman Younesi MD PLLCPort Jefferson Station, NY · 92 clinicians
Other facilities
- Americare Certified Special Services, Inc ChhaHome health agency · Brooklyn, NY
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All 4,780 Student in an Organized Health Care Education/Training Program providers in Brooklyn · All Student in an Organized Health Care Education/Training Program providers in New York