Individual provider Active NPI

Ilya Luschitsky, MD

  • Emergency Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1215556501
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME159270 Issued in FL
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(305) 674-2273
NPI assigned
Apr 16, 2020
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 NU
Emergency Medicine Physician 207P00000X ME159270 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 674-2273

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
I20230123002522 FL Practitioner - Emergency Medicine 6103297528 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Bay Area Emergency Physicians LLC Emergency Medicine CurrentSince Aug 17, 2024 Accepting new patients
Westchester General Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Synergy Medical Collective, PA Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
W4P LLC Emergency Medicine CurrentSince Dec 11, 2024 Accepting new patients
Westchester General Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 13, 2025 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: iluschitsky324602@direct.tgh.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1215556501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCHITSKY",
        "first_name": "ILYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME159270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.