Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tatyana N. Polovenko-Kallman, MD

Individual provider Internal Medicine Physician · NPI 1497721450

Tatyana N. Polovenko-Kallman, MD is an Emergency Medicine in Brooklyn, New York. Qualified in 1989, 37 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2559
Phone: (718) 630-7185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 002312 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 002312 (NY)

Record details

NPI number1497721450
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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