Individual provider Active NPI

Iliya Khramov, M.D.

  • Diagnostic Radiology Physician
  • Deland, FL
National Provider Identifier
1053430157
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME101063 Issued in FL
Practice address
701 W Plymouth Ave
Deland, FL 32720-3236
Phone
(386) 943-3160
Fax
(317) 705-5047
NPI assigned
Mar 28, 2007
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME101063 FL
Diagnostic Radiology Physician 2085R0202X ME101063 FL Primary

Addresses

Primary practice location

701 W Plymouth Ave
Deland, FL 32720-3236

Mailing address

1201 NW 16TH St
C114
Miami, FL 33125-1624
Phone (786) 217-7666

Other practice location 1

7901 Hispanola Ave Apt 1412
North Bay Village, FL 33141-4155
Phone (786) 217-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171221000795 FL Practitioner - Diagnostic Radiology 2264790278 Reassigns benefits to 11 organizations
I20240207004200 MD Practitioner - Diagnostic Radiology 2264790278 Reassigns benefits to 1 organization
I20260508001442 TX Practitioner - Diagnostic Radiology 2264790278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Toronto, Faculty of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

North Bay Village, FL 33141
Phone (863) 577-0303

Miami, FL 33160
Phone (832) 355-4112

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone (863) 688-2334

1313 Hermann Dr
Houston, TX 77004-7005
Phone (281) 466-4401

2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

7901 Hispanola Ave
Apt 1412
North Bay Village, FL 33141-4155
Phone (407) 200-2355

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101063FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince Apr 30, 2026 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Sep 30, 2025 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 3, 2024 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 29, 2024 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Dec 25, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 3, 2024 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Dec 1, 2023 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Dec 8, 2025 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Adventhealth Imaging Training Center CurrentSince Jan 29, 2024 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 25, 2023 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Neuroradiology CurrentSince Jan 29, 2024 Accepting new patients
MRI Associates of Spring Hill, Inc CurrentSince Mar 3, 2025 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Shi Specialists LLC CurrentSince Mar 1, 2025 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients

Locations (25 of 54)

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 557-0303

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 284-6809

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

Networks

  • Freedom Health HMO Network

Organizations & group practices 37

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 37

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1053430157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NW 16TH ST",
            "address_2": "C114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "786-217-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203236",
            "telephone_number": "386-943-3160",
            "fax_number": "317-705-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Hispanola Ave Apt 1412",
            "address_purpose": "LOCATION",
            "city": "North Bay Village",
            "state": "FL",
            "postal_code": "331414155",
            "country_code": "US",
            "telephone_number": "786-217-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHRAMOV",
        "first_name": "ILIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME101063",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME101063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.