Vyacheslav Fuzaylov, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0060082 Issued in MD

Practice address

22 S Greene St
Baltimore, MD 21201-1544

Phone

(667) 214-1616

Fax

(410) 328-1674

NPI assigned

Nov 17, 2005

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, FL2 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

Specialty

Anesthesiology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vfuzaylov648131@direct.umm.edu

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

• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment Care Compare group NPD
• Capital Care Anesthesia LLC

  • Anesthesiology Physician
  • Bowie, MD
  • NPI 1710110499

  DC

  Medicare reassignment
• Capital Care Anesthesia LLC

  • Anesthesiology Physician
  • Rockville, MD
  • NPI 1932015013
  NPD (past)
• Endocentre at Quarterfield Station

  • Endoscopy Clinic/Center
  • Glen Burnie, MD
  • NPI 1396798930
  NPD (past)
• Harborview Anesthesia Associates-Allan M Birenberg M.D. P.a.

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1679526271
  NPD (past)
• Woodholme Gastroenterology Assoc PA

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1700839347
  NPD (past)
• Zinder Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Lutherville, MD
  • NPI 1124089610
  NPD (past)

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

• Englewood Community Hospital, Inc.

  dba HCA Florida Englewood Hospital

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1396727012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64374",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644374",
            "telephone_number": "667-214-1616",
            "fax_number": "410-328-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "667-214-1616",
            "fax_number": "410-328-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAYLOV",
        "first_name": "VYACHESLAV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0060082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585501200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Future Care-Charles Village, LLC (FutureCare Charles Village)
• Future Care-Irvington, LLC (FutureCare Irvington)
• Future Care-Irvington, LLC (FutureCare Irvington)
• Albert Y. Fuzayl, PA-C
• Esther Fuzayl, DO
• FX Studios, LLC
• FX Well LLC
• Margaret Mary Fynes, M.D.
• G & E Behavioral Health Services, LLC
• G & E Behavioral Health Services, LLC

• Anesthesiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.