NATALIA GORODETSKIY – Physician Assistant, NPI 1811636293

NATALIA GORODETSKIY is a healthcare provider. based in Westford, Massachusetts. specializing in PHYSICIAN ASSISTANT. The NPI Number for NATALIA GORODETSKIY is 1811636293

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NATALIA GORODETSKIY
NPI
1811636293
Phone
Not provided
Address
63 DEPOT ST
Enumeration Date
2 June 2022
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20379241512109
Graduation Year
2022 (4 years ago)
PAC ID
3971967407
Group Practice PAC ID
6507804671
Professional Enrollment ID
I20231106003474
Address ID
CT064701476NE170XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for NATALIA GORODETSKIY

  • 63 DEPOT ST

    WESTFORD, MA 018861931

    Phone:

    Type: Mailing

  • 19 FOSTER ST

    WORCESTER, MA 016081715

    Phone: (508) 373-5607

    Type: Location

  • 170 MOUNT PLEASANT RD STE 201

    NEWTOWN, CT 064701476

    Phone: (203) 792-4151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $3,754.

Total Amount is formed as General ($3,754) + Research ($0) + Ownership ($0) = $3,754.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($887).

Total Amount

$3,754

General + Research + Ownership

Payments

147

Total payment records

General Amount

$3,754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-11-06

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
I20231106003474IPhysician AssistantCTTBD

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
17000Destruction of precancer skin growth, 1 growth1515$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 01886)

Loading plans...

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: 6507804671View full group profile
NameSpecialtyState
Physician AssistantCT
Dermatology, Micrographic Dermatologic Surgery (Mds)CT
Dermatology, PathologyCT
-CT
D E R M A T O L O G YCT
Physician AssistantCT
D E R M A T O L O G YCT
D E R M A T O L O G YCT
-CT
Physician AssistantCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for NATALIA GORODETSKIY?
NATALIA GORODETSKIY — NPI 1811636293 — is the standard way to identify this listing.
Is NATALIA GORODETSKIY listed as active for patients and plans?
The listing shows NATALIA GORODETSKIY as active in the NPI system.
What taxonomy line describes NATALIA GORODETSKIY?
For research purposes, treat NATALIA GORODETSKIY as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect NATALIA GORODETSKIY on a map?
Expect Westford, Massachusetts as a primary anchor for NATALIA GORODETSKIY unless the record lists multiple sites.
Is the information about NATALIA GORODETSKIY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

23, Boston Road, Westford Center, Westford, Middlesex County, Massachusetts, 01886, United States
NPI: 1396701975

JESSICA ASHLEY WRIGHT (PA-C)

Physician Assistant
Emerson Hospital Health Center, 133, Littleton Road, Westford, Middlesex County, Massachusetts, 01886-3139, United States
NPI: 1982838355

Circle Health Urgent Care Westford

Urgent Care Clinic/Center
295 VARNUM AVE
NPI: 1710392683

RYAN VAN DAM (PA)

Physician Assistant
3, Thistle Lane, Westford, Middlesex County, Massachusetts, 01460, United States
NPI: 1639616949

JACQUELINE F GORDON (PA-C)

Physician Assistant
8, Sawmill Road, Westford, Middlesex County, Massachusetts, 01879, United States
NPI: 1215462676

DEVON THIBODEAU

Physician Assistant
3, Beech Road, Nabnasset, Westford, Middlesex County, Massachusetts, 01886-2179, United States
NPI: 1316476252
133 LITTLETON RD STE 101
NPI: 1811499130

DANIELLE WILSON (PA-C)

Physician Assistant
89, Stony Brook Road, Westford, Middlesex County, Massachusetts, 01886-2179, United States
NPI: 1790245702

KATELYN JEAN MARONN (PA-C)

Physician Assistant
8 SCHOULER CT
NPI: 1932776408