Individual provider Active NPI

Leo Yankilevich, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1255355632
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199964 Issued in NY
Practice address
2026 Ocean Ave
1B
Brooklyn, NY 11230
Phone
(718) 645-9236
Fax
(718) 645-9228
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199964 NY Primary

Addresses

Primary practice location

2026 Ocean Ave
1B
Brooklyn, NY 11230

Mailing address

2026 Ocean Ave
1B
Brooklyn, NY 11230
Phone (718) 645-9236

Other identifiers 1

IdentifierTypeStateIssuer
01601192MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000665 NY Practitioner - Internal Medicine 0143367466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2155 A Ocean Ave
Brooklyn, NY 11229-1405
Phone (718) 645-9236

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • New York Community Hospital of Brooklyn, Inc. Hospital, Brooklyn, NY, CCN 330019

Merit-based Incentive Payment System (MIPS)

Final score
23.66 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199964NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical of Brooklyn, P.C. Internal Medicine CurrentSince Jun 17, 1999 Accepting new patients
New York Community Hospital of Brooklyn Inc Past Accepting new patients
University Group Medical Associates, P.C Internal Medicine Past Accepting new patients
Union Square Medical Imaging and Mammography PC Past Accepting new patients

Locations

2026 Ocean Ave
Apt 1B
Brooklyn, NY 11230
Phone (917) 297-6500

2155A Ocean Ave
Brooklyn, NY 11229

Networks

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

Organizations & group practices 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1255355632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 OCEAN AVE",
            "address_2": "1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-645-9236",
            "fax_number": "718-645-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 OCEAN AVE",
            "address_2": "1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-645-9236",
            "fax_number": "718-645-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKILEVICH",
        "first_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01601192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.