Yuriy Akilov, PA
Individual provider Active NPI Physician Assistant · Elmhurst, NY
NPI 1376643148 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376643148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 006483 (NY)
- Practice address
- 80TH St & 41St Ave
Elmhurst, NY 11373-1329 - Phone
- (718) 334-5970
- Fax
- (718) 334-5958
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200623002605 | NY | Practitioner - Physician Assistant | 7810275088 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006483 | NY | MD | Acupuncturist |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006483 | NY | Yes |
Addresses
Primary practice location
80TH St & 41St Ave
Elmhurst, NY 11373-1329
Mailing address
79-01 Broadway
Managed Care, D1-01
Elmhurst, NY 11373-1329
Phone (718) 334-1921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246075 | Medicaid | NY |
Other providers in Elmhurst, NY
- Bozena Akhand
- Nima Akhavan
- Diane Akhbari
- Fahmida Akhter
- Nazma Akhter
- Dasola Akinwale
- Akny Physical Therapy PLLC
- Nurjahan Akter
- Leonel Al Dakar
- Ruhul Alam
All providers in Elmhurst, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.