LYUBOV LUPYAN-TEYTELMAN (P.A.) – Physician Assistant, NPI 1033230693

LYUBOV LUPYAN-TEYTELMAN (P.A.) is a healthcare provider. based in Fairfield, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA18793 (CA). The NPI Number for LYUBOV LUPYAN-TEYTELMAN (P.A.) is 1033230693

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LYUBOV LUPYAN-TEYTELMAN (P.A.)
NPI
1033230693
Phone
(707) 399-9200
Address
1261 TRAVIS BLVD
Enumeration Date
2 April 2007
Last Update Date
24 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5104443297
Graduation Year
2006 (20 years ago)
PAC ID
7214097146
Group Practice PAC ID
3072588383
Professional Enrollment ID
I20081121000080
Address ID
CA946122047OA300XXPLZX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for LYUBOV LUPYAN-TEYTELMAN (P.A.)

  • 1261 TRAVIS BLVD

    SUITE 170 GASTROENTEROLOGY

    FAIRFIELD, CA 945334825

    Phone: (707) 399-9200

    Fax: (707) 399-9222

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $2,646.

Total Amount is formed as General ($2,646) + Research ($0) + Ownership ($0) = $2,646.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($525).

Total Amount

$2,646

General + Research + Ownership

Payments

94

Total payment records

General Amount

$2,646

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081121000080IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes7373$0
99214Established patient office or other outpatient visit, 30-39 minutes5857$0
View full utilization report →

Insurance plans in this area (ZIP 94533)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072588383View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YCA
Internal Medicine, GastroenterologyCA
Gastroenterology, Internal MedicineCA
Gastroenterology, Internal MedicineCA
G A S T R O E N T E R O L O G YCA
Gastroenterology, Internal MedicineCA
P A T H O L O G YCA
Physician AssistantCA
-CA
Gastroenterology, Internal MedicineCA

Reviews

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Frequently asked questions

What identifier follows LYUBOV LUPYAN-TEYTELMAN (P.A.) across health systems?
The NPI 1033230693 uniquely identifies LYUBOV LUPYAN-TEYTELMAN (P.A.) in U.S. healthcare data.
Quick check: is LYUBOV LUPYAN-TEYTELMAN (P.A.) active?
Public NPPES data shows LYUBOV LUPYAN-TEYTELMAN (P.A.) with an active NPI status right now.
Which specialty label fits LYUBOV LUPYAN-TEYTELMAN (P.A.)?
NPPES ties LYUBOV LUPYAN-TEYTELMAN (P.A.) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to LYUBOV LUPYAN-TEYTELMAN (P.A.)?
The directory associates LYUBOV LUPYAN-TEYTELMAN (P.A.) with Fairfield, California. Check all listed addresses for suites or satellite offices.
Can I export LYUBOV LUPYAN-TEYTELMAN (P.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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