Izabella Dyakovetsky, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD066483L Issued in PA

Practice address

54 Providence Dr
Richboro, PA 18954-1660

Phone

(215) 718-8036

NPI assigned

Jul 21, 2005

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

78.42

Improvement activities

40

Cost

70.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  Medicare reassignment Care Compare group NPD
• Izabella Dyakovetsky MD, LLC

  • Clinic/Center
  • Southampton, PA
  • NPI 1932360559
  Medicare reassignment NPD Authorized official
• Uhs of Pennsylvania Inc

  • Psychiatry Physician
  • Ambler, PA
  • NPI 1225128192
  Medicare reassignment NPD
• Uhs of Pennsylvania Inc

  dba Horsham Clinic

  • Psychiatric Hospital
  • Ambler, PA
  • NPI 1295708832

  Psychiatry

  NPD
• Eugene Dyakovetsky MD. PC.

  • Internal Medicine Physician
  • Holland, PA
  • NPI 1619195179
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1073512927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PROVIDENCE DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541660",
            "telephone_number": "215-718-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PROVIDENCE DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541660",
            "telephone_number": "215-718-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAKOVETSKY",
        "first_name": "IZABELLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD066483L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01884662",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desaro Chiropractic Center PC
• Allison Dossick, M.S OTR/L
• Dr Harvey N Lisgar & Associates, LLC
• Dr. Ronald Goppold P.C.
• Leonard Dubas
• Yevgeniy Dyakovetsky
• Rosanne Lee Edenhart-Pepe, PH.D.
• Matthew Edwards, DPT
• Glenda Eidenshink, D.M.D
• Elizabeth Soucar, PH.D., LLC

• Psychiatry Physician in Richboro, PA
• Providers in Richboro, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.