Mark Ilyagu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

295645 Issued in NY

Practice address

2183A Ralph Ave
Brooklyn, NY 11234-5405

Phone

(717) 716-7107

NPI assigned

Jun 17, 2015

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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 2

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Rockwell Health LLCGroup PAC ID 5597125609, 10 clinicians

Ilyagu Medical PCGroup PAC ID 1658751417, 3 clinicians

Mark Ilyagu Medical PCGroup PAC ID 6800272477, 7 clinicians

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island University Hospital Univ Hospice Hospice, Staten Island, NY, CCN 331551
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
• Clove Lakes Health Care And Rehabilitation Center, Nursing home, Staten Island, NY, CCN 335239
• Elm Manor Nursing and Rehabilitation Center Nursing home, Canandaigua, NY, CCN 335255
• Park Nursing Home Nursing home, Rockaway Park, NY, CCN 335093
• Wedgewood Nursing and Rehabilitation Center Nursing home, Spencerport, NY, CCN 335408
• The Brook at High Falls Nursing Home and Rehabilit Nursing home, Rochester, NY, CCN 335825

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD
• Direct secure messaging: mark.ilyagu.1@2983.direct.athenahealth.com
• Direct secure messaging: mark.ilyagu@1114960630185988.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aga Operating LLC

  dba The Brook at High Falls Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1437646981

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Mark Ilyagu Medical PC

  • Internal Medicine Physician
  • Valley Stream, NY
  • NPI 1619699915

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Beacon Health Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1679393052
  Medicare reassignment NPD Authorized official
• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group NPD
• Ilyagu Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1730859935
  Medicare reassignment Care Compare group NPD
• Rockwell Health LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1699479733
  Medicare reassignment Care Compare group NPD
• Crown Heights Medical, P.C.

  • Multi-Specialty Clinic/Center
  • Monsey, NY
  • NPI 1821210402
  Medicare reassignment NPD
• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD
• East Summit Medical PC

  • Gastroenterology Physician
  • New York, NY
  • NPI 1093371742

  Internal Medicine

  Medicare reassignment NPD
• Equinox Health Medical PC

  • Internal Medicine Physician
  • Rockaway Park, NY
  • NPI 1851194823
  Medicare reassignment NPD
• Park Avenue Pediatrics, P.C.

  dba PArk Avenue Health CEnter

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1730491945
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD

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

• Aga Operating LLC

  dba The Brook at High Falls Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1437646981

  Nursing home

  Care Compare affiliation
• Clove Lakes Health Care and Rehabilitation Center, Inc.

  • Skilled Nursing Facility
  • Staten Island, NY
  • NPI 1417952417

  Nursing home

  Care Compare affiliation
• Ilf Operating LLC

  dba Elm Manor Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Canandaigua, NY
  • NPI 1730698028

  Nursing home

  Care Compare affiliation
• LFG Operating LLC

  dba Wedgewood Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Spencerport, NY
  • NPI 1679082960

  Nursing home

  Care Compare affiliation
• Park House Care Center LLC

  • Skilled Nursing Facility
  • Rockaway Beach, NY
  • NPI 1154584886

  Nursing home

  Care Compare affiliation
• Staten Island University Hospital

  • Inpatient Hospice
  • Staten Island, NY
  • NPI 1396755922
  Care Compare affiliation
• University of Rochester

  dba Strong Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1073994711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SEA BREEZE AVE APT PH2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243454",
            "telephone_number": "717-716-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183A RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345405",
            "telephone_number": "717-716-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAGU",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilya Lantsberg MD PC
• Mikhail Ilyabayev, DPT
• Ilyaev Medicine PLLC
• Ilyagu Medical PC
• Ilyagu Medical PC
• Luba Ilyaich, BS, PHARMD, CGP
• Maya Ilyas, DO
• Saba Ilyas, DO
• Irina Ilyasov, RPA-C
• Yekaterina Ilyasova, NP

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.