Tatiana Vasylievna Barsukova, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

43197 Issued in TX

Practice address

3625 University Blvd S
Jacksonville, FL 32216-4207

Phone

(904) 391-1330

Fax

(904) 391-1319

NPI assigned

Jun 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Tatiana Yakoushina Former name

Medicare fee-for-service enrollment

Enrolled in FL, GA, OH3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Merit-based Incentive Payment System (MIPS)

Final score

82.59 of 100Reported as group

Quality

59.57

Promoting interoperability

100

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIABAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beach Medical Specialist PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1720125479
  Medicare reassignment NPD
• Integrated Regional Laboratories Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298

  GA

  Medicare reassignment NPD
• Ruffolo Hooper & Associates MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1790732360
  Medicare reassignment NPD
• Southeast Interventional Pain Specialists, Inc

  • Interventional Pain Medicine Physician
  • Saint Johns, FL
  • NPI 1710618160
  Medicare reassignment NPD
• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227
  Medicare reassignment NPD
• Somc Medical Care Foundation, Inc.

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1366686230
  NPD
• North Florida Multispecialty Physicians LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1639593213

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1093974057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-391-1330",
            "fax_number": "904-391-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSUKOVA",
        "first_name": "TATIANA",
        "middle_name": "VASYLIEVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "43197",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "43197",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "43197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "YAKOUSHINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rickirah Barry
• Samantha J Barry, ARNP
• Susana Barsky, PSYD, LCSW
• Marina Sedky Barsoom, AGACNP-BC
• George Barsoum, MD
• Yuliya Barsukova, MD
• Andrew K. Bartell, DPM
• Alison A Bartfield, MD
• Johnny M Barthel, OT
• Ashley Ann Bartholomew

• Anatomic Pathology & Clinical Pathology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.