Active NPI
Peter Bratovanov Iliev, M.D.
- Anesthesiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME142378
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-1196
- Fax
- (601) 984-5939
- NPI assigned
- Sep 14, 2009
- Last updated
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24023 | MS | |
| Anesthesiology Physician | 207L00000X | ME142378 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 254809 | NY |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-1196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02704031 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131
33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101
52 Harrison St
Johnson City, NY 13790-2120
Phone (607) 763-5898
54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254809 | NY | MD | Anesthesiology Physician |
| 24023 | MS | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Physician Health, P.C. | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Yorkville Endoscopy, LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| York Anesthesiologists PLLC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Resource Anesthesiology Associates,PC | Anesthesiology | Current | Accepting new patients |
| Upstate Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Singular Anesthesia Services, PLLC | Anesthesiology | Current | Accepting new patients |
| Lynbrook Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Bronx Anesthesia Services, PC | Anesthesiology | Past | Accepting new patients |
| Resource Anesthesiology Associates of CT PC | Anesthesiology | Past | Accepting new patients |
Locations (25 of 28)
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
7700 W Sunrise Blvd
#31
Plantation, FL 33322
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
5500 Broadway
Ste A
Bronx, NY 10463
Phone (718) 543-3635
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
600 Mamaroneck Ave
Ste 301
Harrison, NY 10528
Phone 9147238100116
4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100
198 Canal St
Ste 501
New York, NY 10013
Phone (212) 219-8010
201 E 93rd St
New York, NY 10128
Phone (917) 281-0100
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Networks
- Freedom Health HMO Network
Organizations & group practices 21
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Astoria, NY
- NPI 1881871630
-
- Anesthesiology Physician
- Harrison, NY
- NPI 1588647200
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
dba Long Island Anesthesia Associates
- Anesthesiology Physician
- East Meadow, NY
- NPI 1629272141
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Anesthesiology
-
- Anesthesiology Physician
- New York, NY
- NPI 1508947441
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1174873780
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1376876987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-1196",
"fax_number": "601-984-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-1196",
"fax_number": "601-984-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIEV",
"first_name": "PETER",
"middle_name": "BRATOVANOV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "24023",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME142378",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "254809",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02704031",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.