DR. MARYANNA POLUKHIN (M.D.) – Internal Medicine Physician, NPI 1881688034

DR. MARYANNA POLUKHIN (M.D.) is a healthcare provider. based in New britain, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 034968 (CT). The NPI Number for DR. MARYANNA POLUKHIN (M.D.) is 1881688034

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARYANNA POLUKHIN (M.D.)
NPI
1881688034
Phone
(860) 666-5252
Address
300 KENSINGTON AVE
Enumeration Date
2 September 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8602583480
Graduation Year
1987 (39 years ago)
PAC ID
0143317289
Group Practice PAC ID
7517863749
Professional Enrollment ID
I20100908000737
Address ID
CT061112300NE375XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

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Provider Addresses for DR. MARYANNA POLUKHIN (M.D.)

  • 300, Kensington Avenue, Barrio Latino, New Britain, Capitol Planning Region, Connecticut, 06051, United States

    GROVE HILL MEDICAL CENTER

    NEW BRITAIN, CT 060513916

    Phone: (860) 666-5252

    Fax: (860) 666-5153

    Type: Mailing

  • 18, Cedar Street, Newington, Capitol Planning Region, Connecticut, 06111, United States

    GROVE HILL MEDICAL CENTER

    NEWINGTON, CT 061112647

    Phone: (860) 666-5252

    Fax: (860) 666-5153

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,078.

Total Amount is formed as General ($1,078) + Research ($0) + Ownership ($0) = $1,078.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($224).

Total Amount

$1,078

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2010-09-08

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
I20100908000737IInternal MedicineCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes384202$0
99213Established patient office or other outpatient visit, 20-29 minutes324215$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit196196$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8479$0
G0008Administration of influenza virus vaccine6363$0
View full utilization report →

Insurance plans in this area (ZIP 06051)

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Provider's Procedures

DR. MARYANNA POLUKHIN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECT90670Pneumococcal vaccine for injection into muscle7575

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: 7517863749View full group profile
NameSpecialtyState
Nurse PractitionerCT
Diagnostic RadiologyRI
Pulmonary Disease, Critical Care (Intensivists)CT
Interventional Radiology, Diagnostic RadiologyCT
O B S T E T R I C S/ G Y N E C O L O G YCT
Diagnostic RadiologyMN
Diagnostic RadiologyMA
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyCT

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Frequently asked questions

What identifier follows DR. MARYANNA POLUKHIN (M.D.) across health systems?
The NPI 1881688034 uniquely identifies DR. MARYANNA POLUKHIN (M.D.) in U.S. healthcare data.
Does the public listing show DR. MARYANNA POLUKHIN (M.D.) as active?
DR. MARYANNA POLUKHIN (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MARYANNA POLUKHIN (M.D.)?
NPPES ties DR. MARYANNA POLUKHIN (M.D.) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARYANNA POLUKHIN (M.D.)?
DR. MARYANNA POLUKHIN (M.D.) shows a connection to New Britain, Connecticut in registry-derived data.
Who maintains DR. MARYANNA POLUKHIN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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