Individual provider Active NPI

Yuriy Pasisnichenko, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Hallandale Beach, FL
National Provider Identifier
1174029540
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MA13036900 Issued in NJ
Practice address
3180 S Ocean Dr Apt 1020
Hallandale Beach, FL 33009-7251
Phone
(718) 250-6604
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME150604 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA13036900 NJ Primary
Hospitalist Physician 208M00000X ME150604 FL

Addresses

Primary practice location

3180 S Ocean Dr Apt 1020
Hallandale Beach, FL 33009-7251

Mailing address

3180 S Ocean Dr Apt 1020
Hallandale Beach, FL 33009-7251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211130002866 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 2163769548 Reassigns benefits to 4 organizations
I20260615001811 NJ Practitioner - Internal Medicine 2163769548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
Robert Wood Johnson University Hosp
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-2234

13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-6084

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME150604FLMDInternal Medicine Physician
25MA13036900NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Internal Medicine CurrentSince Aug 26, 2021 Accepting new patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Jul 21, 2023 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Mar 1, 2024 Accepting new patients
University of Miami Current Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2012 Accepting new patients
University of Miami Internal Medicine CurrentSince Aug 26, 2021 Accepting new patients
QMC LLC Hospitalist Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ypasisnichenko94937@direct.med.miami.edu
  • Direct secure messaging: ypasisnichenko20569@jupitermedicalcenter.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1174029540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 S OCEAN DR APT 1020",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 S OCEAN DR APT 1020",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097251",
            "telephone_number": "718-250-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASISNICHENKO",
        "first_name": "YURIY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME150604",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA13036900",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME150604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.