Individual provider Active NPI

Yevgeny Gililov

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1144682576
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35137056 Issued in OH
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(718) 780-7343
Fax
(718) 780-3259
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35137056 OH Primary

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

506 6TH St
Brooklyn, NY 11215-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190814003083 OH Practitioner - Internal Medicine 7113254038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

2971 Maple Ave
Zanesville, OH 43701-1406
Phone (614) 255-6900

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35137056OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Hospitalists, Inc CurrentSince Oct 15, 2019 Accepting new patients
Genesis Healthcare System Past Accepting new patients

Locations

501 Pinecrest Dr
Beverly, OH 45715
Phone (740) 984-4262

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

540 Industrial Mile Rd
Columbus, OH 43228
Phone (614) 274-1730

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

327 W Main St
Crestline, OH 44827
Phone (419) 683-3255

900 Wedgewood Cir
Galion, OH 44833
Phone (419) 462-0173

390 Gables Dr
Marysville, OH 43040
Phone (937) 578-4050

920 S Main St
New Lexington, OH 43764
Phone (740) 342-5161

7820 Pleasantville Rd NE
Thornville, OH 43076
Phone (740) 536-7381

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1144682576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-7343",
            "fax_number": "718-780-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILILOV",
        "first_name": "YEVGENY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35137056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.