MIKHAIL VASSILENKO (MD) – Psychiatry Physician, NPI 1053380584

MIKHAIL VASSILENKO (MD) is a healthcare provider. based in Pembroke pines, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD062001L (PA). The NPI Number for MIKHAIL VASSILENKO (MD) is 1053380584

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MIKHAIL VASSILENKO (MD)
NPI
1053380584
Phone
(954) 447-0010
Address
1601 N. Palm Ave
Enumeration Date
16 March 2006
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613428822
Graduation Year
1984 (42 years ago)
PAC ID
9032158902
Group Practice PAC ID
0749547750
Professional Enrollment ID
I20220729001915
Address ID
FL334281703BO9980XBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for MIKHAIL VASSILENKO (MD)

  • 1601 N. Palm Ave

    Ste 211

    Pembroke Pines, FL 330263204

    Phone: (954) 447-0010

    Type: Location

  • 1065 NE 125TH ST STE 300

    NORTH MIAMI, FL 331615833

    Phone: (786) 221-0908

    Fax: (305) 891-4228

    Type: Mailing

  • 10301 HAGEN RANCH RD STE B200

    BOYNTON BEACH, FL 334373723

    Phone: (561) 752-9490

    Fax: (561) 752-9491

    Type: Location

  • 7481 W. Oakland Park Blvd

    Ste 100

    Tamarac, FL 333193331

    Phone: (954) 771-7743

    Fax: (954) 771-7748

    Type: Location

  • 1065 NE 125th St.

    Ste 300

    North Miami, FL 33161

    Phone: (305) 891-0050

    Fax: (305) 891-0497

    Type: Location

  • 11430 N KENDALL DR STE 106

    MIAMI, FL 331761041

    Phone: (305) 279-5535

    Fax: (305) 279-2742

    Type: Location

  • 1065 NE 125TH ST

    STE 300

    NORTH MIAMI, FL 331615833

    Phone: (888) 852-6672

    Fax: (305) 891-4228

    Type: Mailing

  • 10301 HAGEN RANCH RD

    STE B6

    BOYNTON BEACH, FL 334373723

    Phone: (561) 752-9490

    Fax: (561) 752-9491

    Type: Location

  • 100, Shenango Avenue, Sharon, Mercer County, Pennsylvania, 16146, United States

    SHARON, PA 161461503

    Phone: (724) 770-9095

    Fax: (724) 770-9096

    Type: Mailing

  • 176, Virginia Avenue, Rochester, Monroe, New York, 14619, United States

    ROCHESTER, PA 150741723

    Phone: (724) 770-9095

    Fax: (724) 770-9096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2022-07-29

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
I20220729001915IPsychiatryFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes590174$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes271224$0
99239Hospital discharge day management, more than 30 minutes5841$0
View full utilization report →

Insurance plans in this area (ZIP 33026)

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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: 0749547750View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorFL
P S Y C H I A T R YAK
P S Y C H I A T R YFL
P S Y C H I A T R YIL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical PsychologistPA
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What is MIKHAIL VASSILENKO (MD)'s NPI number?
MIKHAIL VASSILENKO (MD)'s NPI is 1053380584 — the number used across U.S. healthcare to identify this provider.
Is MIKHAIL VASSILENKO (MD) still an active registrant?
MIKHAIL VASSILENKO (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for MIKHAIL VASSILENKO (MD)?
At a glance, MIKHAIL VASSILENKO (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is MIKHAIL VASSILENKO (MD) registered?
Use Pembroke Pines, Florida as the headline location for MIKHAIL VASSILENKO (MD) here.
Can I trust this NPI listing for MIKHAIL VASSILENKO (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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