Active NPI
Izabella Mullokandov, MD
- Nuclear Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 206986
- Practice address
- One Brookdale Plaza, Brookdale Hospital, Radiology
Room #309
Brooklyn, NY 11212-3198 - Phone
- (718) 240-5425
- Fax
- (718) 240-6620
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 206986 | NY | Primary |
Addresses
Primary practice location
One Brookdale Plaza, Brookdale Hospital, Radiology
Room #309
Brooklyn, NY 11212-3198
Mailing address
One Brookdale Plaza, Brookdale Hospital, Radiology
Room #309
Brooklyn, NY 11212-3198
Phone (718) 240-5425
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | izm9001@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-3000
528 Prospect PL
Brooklyn, NY 11238-4205
Phone (718) 613-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Quality
- 84.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206986 | NY | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Past | Accepting new patients | |
| Lincon Medical and Mental Center | Past | Accepting new patients |
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
1 Brookdale Plz
Fl 4
Brooklyn, NY 11212
Phone (718) 240-5271
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1 Brookdale Plz
Rm 309
Brooklyn, NY 11212
Phone (718) 240-5425
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- izm9001@direct.nyp.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Critical Access Hospital
- Bronx, NY
- NPI 1902979651
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1023119229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BROOKDALE PLAZA, BROOKDALE HOSPITAL, RADIOLOGY",
"address_2": "ROOM #309",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123198",
"telephone_number": "718-240-5425",
"fax_number": "718-240-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BROOKDALE PLAZA, BROOKDALE HOSPITAL, RADIOLOGY",
"address_2": "ROOM #309",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123198",
"telephone_number": "718-240-5425",
"fax_number": "718-240-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLOKANDOV",
"first_name": "IZABELLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NY",
"license": "206986",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "izm9001@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct messaging address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct messaging address",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.