STANISLAV ZINKOVSKY (OTR, PA-C) – Physician Assistant, NPI 1689706525

STANISLAV ZINKOVSKY (OTR, PA-C) is a healthcare provider. based in West bloomfield, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials OTR, PA-C. They hold a License No. 520106097 (MI). The NPI Number for STANISLAV ZINKOVSKY (OTR, PA-C) is 1689706525

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
STANISLAV ZINKOVSKY (OTR, PA-C)
NPI
1689706525
Phone
(248) 819-0470
Address
5305 LANGLEWOOD DR
Enumeration Date
9 March 2007
Last Update Date
15 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133672767
Graduation Year
2007 (19 years ago)
PAC ID
2567550783
Group Practice PAC ID
4385824382
Professional Enrollment ID
I20071121000228
Address ID
MI482354132DE17187HWYX300
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

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for STANISLAV ZINKOVSKY (OTR, PA-C)

  • 5305 LANGLEWOOD DR

    WEST BLOOMFIELD, MI 483222021

    Phone: (248) 819-0470

    Type: Mailing

  • 22972 LAHSER RD

    SOUTHFIELD, MI 480334408

    Phone: (248) 353-0079

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

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: 2007-11-21

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
I20071121000228IPhysician AssistantMITBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,207408$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes376175$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes213118$0
20610Aspiration and/or injection of fluid from large joint2816$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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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: 4385824382View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Osteopathic Manipulative MedicineIL
Nurse PractitionerMI
Physical Medicine And Rehabilitation, Internal MedicineIL
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does STANISLAV ZINKOVSKY (OTR, PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STANISLAV ZINKOVSKY (OTR, PA-C) uses 1689706525.
Does CMS list STANISLAV ZINKOVSKY (OTR, PA-C) as active?
Yes — STANISLAV ZINKOVSKY (OTR, PA-C) is active in the NPI listing used on this page.
What healthcare role does STANISLAV ZINKOVSKY (OTR, PA-C) hold?
Scheduling teams often label STANISLAV ZINKOVSKY (OTR, PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect STANISLAV ZINKOVSKY (OTR, PA-C) on a map?
Expect West Bloomfield, Michigan as a primary anchor for STANISLAV ZINKOVSKY (OTR, PA-C) unless the record lists multiple sites.
Why does STANISLAV ZINKOVSKY (OTR, PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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