Individual provider Active NPI

Kamila Agayeva, M.D

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1457364804
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
226831 Issued in 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
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

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

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

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
I20040412000673 NY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 9931193133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced OB/GYN, PCGroup PAC ID 7214183698, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.98

National Provider Directory

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

Practice roles

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

Locations

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1457364804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST",
            "address_2": "SUITE 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291028",
            "telephone_number": "718-336-1909",
            "fax_number": "718-336-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST",
            "address_2": "SUITE # 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291028",
            "telephone_number": "718-336-1909",
            "fax_number": "718-336-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAYEVA",
        "first_name": "KAMILA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "226831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.