ROSTISLAVA KANYUK-STOUPNITSKA (MD) – Anesthesiology Physician, NPI 1477614196

ROSTISLAVA KANYUK-STOUPNITSKA (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in INTERNAL MEDICINE, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 38662 (KY). The NPI Number for ROSTISLAVA KANYUK-STOUPNITSKA (MD) is 1477614196

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
ROSTISLAVA KANYUK-STOUPNITSKA (MD)
NPI
1477614196
Phone
(978) 296-2302
Address
PO BOX 9132
Enumeration Date
13 December 2006
Last Update Date
21 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785213235
Graduation Year
1990 (36 years ago)
PAC ID
5991779282
Group Practice PAC ID
0648371740
Professional Enrollment ID
I20071012000201
Address ID
MA018306278HA1XXXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for ROSTISLAVA KANYUK-STOUPNITSKA (MD)

  • Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States

    BROOKLINE, MA 02446

    Phone: (978) 296-2302

    Fax: (978) 296-2304

    Type: Mailing

  • 138, Haverhill Street, Andover, Essex County, Massachusetts, 01810, United States

    ANDOVER, MA 01810

    Phone: (978) 296-2302

    Fax: (978) 296-2304

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-10-12

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
I20071012000201IInternal MedicineMATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope139139$0
00812Anesthesia for exam of colon using an endoscope6262$0
00813Anesthesia for procedure on small and large bowel using an endoscope4949$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4141$0
View full utilization report →

Insurance plans in this area (ZIP 02446)

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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: 0648371740View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNH

Reviews

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Frequently asked questions

What federal number belongs to ROSTISLAVA KANYUK-STOUPNITSKA (MD)?
The federal identifier for ROSTISLAVA KANYUK-STOUPNITSKA (MD) is NPI 1477614196.
Is ROSTISLAVA KANYUK-STOUPNITSKA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ROSTISLAVA KANYUK-STOUPNITSKA (MD)'s specialty in plain language?
Clinically, the directory lists ROSTISLAVA KANYUK-STOUPNITSKA (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ROSTISLAVA KANYUK-STOUPNITSKA (MD)?
We surface Brookline, Massachusetts for ROSTISLAVA KANYUK-STOUPNITSKA (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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