Active NPI
Nurlan Davletalinov
- Family Medicine Physician
- Norton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0116041733
- Practice address
- 96 15TH St. NE
Suite 104
Norton, VA 24273 - Phone
- (276) 679-0321
- Fax
- (276) 439-1872
- NPI assigned
- Aug 20, 2025
- Last updated
- Jul 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116041733 | VA | Primary |
| Internal Medicine Physician | 207R00000X | P137752 | NY |
Addresses
Primary practice location
96 15TH St. NE
Suite 104
Norton, VA 24273
Mailing address
4414 47TH Ave Apt C2
Woodside, NY 11377-6115
Phone (516) 800-6882
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3438 Bell Blvd
Suite 301
Bayside, NY 11361-1745
4414 47TH Ave
Apt C2
Woodside, NY 11377-6113
4414 47TH Ave Apt
C2
Woodside, NY 11377-6115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116041733 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peyman Younesi MD PLLC | Internal Medicine | Current | Accepting new patients |
Locations
1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1124905179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 47TH AVE APT C2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113776115",
"telephone_number": "516-800-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 15TH ST. NE",
"address_2": "SUITE 104",
"city": "NORTON",
"state": "VA",
"postal_code": "24273",
"telephone_number": "276-679-0321",
"fax_number": "276-439-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVLETALINOV",
"first_name": "NURLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-20",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116041733",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "P137752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.