Individual provider Active NPI

Ilya M Averbuch, M.D.

  • Anesthesiology Physician
  • Newberry, SC
National Provider Identifier
1316920358
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-068971 Issued in IL
Practice address
2669 Kinard St, Newberry, SC 29108
Newberry, SC 29108
Phone
(803) 276-7570
NPI assigned
Nov 23, 2005
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-068971 IL Primary
Anesthesiology Physician 207L00000X 82300 SC
Anesthesiology Physician 207L00000X MD032400E PA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD032400E PA

Addresses

Primary practice location

2669 Kinard St, Newberry, SC 29108
Newberry, SC 29108

Mailing address

2 Falcon Dr Apt 200
Holland, PA 18966-2945
Phone (215) 953-9595

Other identifiers 2

IdentifierTypeStateIssuer
001000711MedicaidPA
369G726QP0PENSNMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040520000531 PA Practitioner - Anesthesiology 7810881000 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3034

215 E Water St
Susquehanna Health Anesthesia Crna
Muncy, PA 17756-8828
Phone (570) 321-1279

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8599

809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 768-2296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-068971ILMDAnesthesiology Physician
MD032400EPAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Jul 1, 2024 Accepting new patients
Brookville Hospital CurrentSince May 21, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 26, 2019 Accepting new patients
Excela Health Physician Practices, Inc. Pain Medicine CurrentSince Jul 26, 2019 Accepting new patients
Elk Regional Health Center Anesthesiology CurrentSince Jun 15, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Sep 18, 2020 Accepting new patients
Dubois Regional Medical Center Anesthesiology CurrentSince Sep 18, 2020 Accepting new patients
Susquehanna Physician Services Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Nov 15, 2022 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Jan 8, 2024 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Elk Regional Health Center CurrentSince Jun 15, 2025 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Brookville Hospital Anesthesiology CurrentSince May 21, 2022 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Jan 8, 2024 Accepting new patients
Clearfield Hospital Past Accepting new patients
Jersey Shore Pain Management Past Accepting new patients
Clearfield Hospital Past Accepting new patients
Valley Back & Pain Management Pain Medicine Past Accepting new patients
Medprime, LLC Past Accepting new patients
Atlantic Anesthesia & Pain Anesthesiology Past Accepting new patients
Professional Anesthesia Consultants, PC Anesthesiology Past Accepting new patients
Elk Regional Health Center Past Accepting new patients
Gulfstream Anesthesia Consultants PA Anesthesiology Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

215 E Water St
Muncy, PA 17756
Phone (570) 327-8137

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

763 Johnsonburg Rd
#A
Saint Marys, PA 15857
Phone (800) 446-5090

1100 Grampian Blvd
#P
Williamsport, PA 17701
Phone (570) 326-8457

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

Interoperability endpoints

  • Direct secure messaging: iaverbuch418698@upmc.direct-ci.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1316920358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FALCON DR APT 200",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662945",
            "telephone_number": "215-953-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 KINARD ST, NEWBERRY, SC 29108",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-276-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERBUCH",
        "first_name": "ILYA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-068971",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "82300",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD032400E",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD032400E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000711",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369G726QP0PENSN",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.