YEVGENIY VAYNTRUB (MD) – Internal Medicine Physician, NPI 1811254584

YEVGENIY VAYNTRUB (MD) is a healthcare provider. based in Cranston, Rhode Island. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. MD61184072 (WA). The NPI Number for YEVGENIY VAYNTRUB (MD) is 1811254584

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
YEVGENIY VAYNTRUB (MD)
NPI
1811254584
Phone
(718) 757-7695
Address
151 GRAND AVE
Enumeration Date
18 April 2012
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
2535725140
Graduation Year
2012 (14 years ago)
PAC ID
6800174087
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20220107001059
Address ID
WA984055309TA1708XAVEX303
Telehealth
Yes

Contacts

Secure Messaging
yvayntrub721140@fhsce.catholichealth.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

111 PULMONARY DISEASE in RI

Provider Addresses for YEVGENIY VAYNTRUB (MD)

  • 151 GRAND AVE

    CRANSTON, RI 029053909

    Phone: (718) 757-7695

    Type: Mailing

  • 593 EDDY ST

    PROVIDENCE, RI 02903

    Phone: (401) 444-4000

    Type: Location

  • 2420 S State St

    Tacoma, WA 984052845

    Phone: (253) 426-4000

    Fax: (253) 428-8440

    Type: Location

  • 1708 YAKIMA AVE STE 300

    TACOMA, WA 984055309

    Phone: (253) 363-8700

    Fax: (253) 272-0419

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $2,516.

Total Amount is formed as General ($2,516) + Research ($0) + Ownership ($0) = $2,516.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,516).

Total Amount

$2,516

General + Research + Ownership

Payments

2

Total payment records

General Amount

$2,516

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$2,516
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: 2022-01-07

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
I20220107001059IPulmonary DiseaseWATBD

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 minutes17696$0
J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg13244$0
94729Test to examine how well the lungs exchange gases6662$0
99204New patient office or other outpatient visit, 45-59 minutes5252$0
99291Critical care, first 30-74 minutes5129$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to YEVGENIY VAYNTRUB (MD)?
NPI 1811254584 is assigned to YEVGENIY VAYNTRUB (MD) under the national enumeration system.
Is YEVGENIY VAYNTRUB (MD) currently active in the NPI registry?
CMS-published data lists YEVGENIY VAYNTRUB (MD) as an active registrant.
Does YEVGENIY VAYNTRUB (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for YEVGENIY VAYNTRUB (MD). Clinical services aligned with this taxonomy classification.
Where is YEVGENIY VAYNTRUB (MD)'s primary listing?
We display Cranston, Rhode Island because that is what the record indicates for YEVGENIY VAYNTRUB (MD).
How can I contact YEVGENIY VAYNTRUB (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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