Individual provider Active NPI

Tatyana Alexandra Danilov, MD

  • Cardiovascular Disease Physician
  • Elmhurst, NY
National Provider Identifier
1043492796
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
271834 Issued in NY
Practice address
8831 55TH Ave Ste 201
Elmhurst, NY 11373-5293
Phone
(718) 899-6600
Fax
(718) 606-3881
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 271834 NY Primary

Addresses

Primary practice location

8831 55TH Ave Ste 201
Elmhurst, NY 11373-5293

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000779 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183896020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

88 -31
Elmhurst, NY 11373-4686
Phone (718) 899-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003906NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 22, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 15, 2024 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 7, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Jan 22, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
A1 Mobile Imaging LLC CurrentSince Jun 7, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 7, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 15, 2024 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

8831 55th Ave
Elmhurst, NY 11373

8831 55th Ave
#201
Elmhurst, NY 11373

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

55 Water St
Fl 2
New York, NY 10041

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ebb9023@direct.nyp.org
  • Direct secure messaging: tdanilov55091@direct.acpny.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1043492796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 55TH AVE STE 201",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735293",
            "telephone_number": "718-899-6600",
            "fax_number": "718-606-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANILOV",
        "first_name": "TATYANA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "271834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.