Larissa Nekhlyudov, MD - Medicare Internal Medicine in Boston, MA

Larissa Nekhlyudov, MD is a medicare enrolled "Internal Medicine" physician in Boston, Massachusetts. She went to Icahn School Of Medicine At Mount Sinai and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Brigham And Womens Physicians Organization Inc, Dana-farber Cancer Institute, Inc. and her current practice location is 133 Brookline Ave, 6th Floor, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 421-5804.

Larissa Nekhlyudov is licensed to practice in Massachusetts (license number 202502) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053341826.

Contact Information

Larissa Nekhlyudov, MD
133 Brookline Ave, 6th Floor,
Boston, MA 02215-3904
(617) 421-5804
(617) 421-8865

Map and Direction




Physician's Profile

Full NameLarissa Nekhlyudov
GenderFemale
SpecialityInternal Medicine
Experience29 Years
Location133 Brookline Ave, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larissa Nekhlyudov attended and graduated from Icahn School Of Medicine At Mount Sinai in 1995
  NPI Data:
  • NPI Number: 1053341826
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 01/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4082806922
  • Enrollment ID: I20101011000050

Medical Identifiers

Medical identifiers for Larissa Nekhlyudov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053341826NPI-NPPES
202502OtherMATUFTS
V922OtherMAHARVARD PILGRIM
0018938OtherMANEIGHBORHOOD HEALTH
3206556MedicaidMA
J22143OtherMABLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 202502 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Partners Healthcare At Home - Home CareWaltham, MAHome health agency
Brigham And Women's HospitalBoston, MAHospital
Newton-wellesley HospitalNewton, MAHospital
Faulkner Hospital-brigham And Women'sBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brigham And Womens Physicians Organization Inc38704059882511
Dana-farber Cancer Institute, Inc.9133038904521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larissa Nekhlyudov allows following entities to bill medicare on her behalf.
Entity NameDana-farber Cancer Institute, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851333686
PECOS PAC ID: 9133038904
Enrollment ID: O20040223000228
Entity NameBrigham & Womens Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Nekhlyudov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Larissa Nekhlyudov, MD
147 Milk St, Provider Enrollment - 9th Floor,
Boston, MA 02109-4806

Ph: (617) 559-8374
Larissa Nekhlyudov, MD
133 Brookline Ave, 6th Floor,
Boston, MA 02215-3904

Ph: (617) 421-5804

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.