Individual provider Active NPI

Yevgeniya Golbraykh, MD

  • General Practice Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1073686515
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME81951 Issued in FL
Practice address
17100 Collins Ave
#216
Sunny Isles Beach, FL 33160
Phone
(305) 945-9595
Fax
(305) 945-9545
NPI assigned
Nov 15, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME81951 FL Primary

Addresses

Primary practice location

17100 Collins Ave
#216
Sunny Isles Beach, FL 33160

Mailing address

17100 Collins Ave
#216
Sunny Isles Beach, FL 33160
Phone (305) 945-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040629001094 FL Practitioner - General Practice 9133105539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17100 Collins Ave
Suite 216
Sunny Isles Beach, FL 33160-3675
Phone (305) 945-9595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81951FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yevgeniya Golbraykh, MD, PA CurrentSince Apr 8, 2004 Accepting new patients
Informed Improvement Inc CurrentSince Apr 16, 2023 Accepting new patients
Surfside Pain Control Center Past Accepting new patients

Locations

17100 Collins Ave
Ste 216
Sunny Isles Beach, FL 33160
Phone (305) 204-5665

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1073686515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "address_2": "#216",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-945-9595",
            "fax_number": "305-945-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "address_2": "#216",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-945-9595",
            "fax_number": "305-945-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBRAYKH",
        "first_name": "YEVGENIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME81951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

Verify at the official NPI Registry.