Kamila Agayeva, M.D

Individual provider Active NPI Obstetrics & Gynecology Physician · Brooklyn, NY

NPI 1457364804 · NPPES record last updated Feb 8, 2024

Key facts

NPI
1457364804
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
226831 (NY)
Practice address
1725 E 12TH St
Suite # 301
Brooklyn, NY 11229-1028
Phone
(718) 336-1909
Fax
(718) 336-1929
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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 7

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

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced OB/GYN, PC (2 clinicians)

Practice addresses (Care Compare)

629 Park Ave
1St Floor
New York, NY 10065-6530
Phone (212) 744-0392

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital · New York, NY · CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
26.09 of 100 (individual)
Quality
0
Improvement activities
0
Cost
86.98

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: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040412000673 NY Practitioner - Obstetrics/Gynecology
Practitioner - Gynecological Oncology
9931193133 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC Current
since May 1, 2025
Accepting new patients
Advanced OB/GYN, PC Obstetrics & Gynecology Current
since Aug 13, 2012
Accepting new patients

Locations

1725 E 12th St
Ste 301
Brooklyn, NY 11229
Phone (718) 336-1909

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

629 Park Ave
Fl 1
New York, NY 10065
Phone (212) 644-4484

Interoperability endpoints

  • Direct secure messaging: kagayeva309391@northwell.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 226831 NY Yes

Addresses

Primary practice location

1725 E 12TH St
Suite # 301
Brooklyn, NY 11229-1028

Mailing address

1725 E 12TH St
Suite 301
Brooklyn, NY 11229-1028
Phone (718) 336-1909

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Obstetrics & Gynecology Physician in New York

Sources for this page

Verify at the official NPI Registry.