Individual provider Active NPI

Ilya Arkadiyvich Dubovoy, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1508390261
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101271505 Issued in VA
Practice address
6670 Bertner Avenue, R2-216
Houston Methodist Hospital, Graduate Medical Education
Houston, TX 77030
Phone
(713) 441-1577
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101271505 VA Primary

Addresses

Primary practice location

6670 Bertner Avenue, R2-216
Houston Methodist Hospital, Graduate Medical Education
Houston, TX 77030

Mailing address

6670 Bertner Avenue, R2-216
Houston Methodist Hospital, Graduate Medical Education
Houston, TX 77030

Other practice location 1

120 Kings Way Ste 2700
Williamsburg, VA 23185-2554
Phone (757) 221-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210721003328 VA Practitioner - PsychiatryPractitioner - Neurology 2769885292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henrico Doctors Neurology Associates LLCGroup PAC ID 4284739830, 16 clinicians

Practice addresses (Care Compare)

7607 Forest Ave
Suite 300
Richmond, VA 23229-4913
Phone (804) 288-2742

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
81.24
Promoting interoperability
99
Improvement activities
40
Cost
85.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Doctors Neurology Associates LLC Neurology CurrentSince Oct 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5225 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 527-5337

7607 Forest Ave
Ste 300
Richmond, VA 23229
Phone (804) 228-2742

Interoperability endpoints

  • Direct secure messaging: ilya.dubovoy@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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 2

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1508390261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 BERTNER AVENUE, R2-216",
            "address_2": "HOUSTON METHODIST HOSPITAL, GRADUATE MEDICAL EDUCATION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 BERTNER AVENUE, R2-216",
            "address_2": "HOUSTON METHODIST HOSPITAL, GRADUATE MEDICAL EDUCATION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-441-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Kings Way Ste 2700",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852554",
            "country_code": "US",
            "telephone_number": "757-221-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOVOY",
        "first_name": "ILYA",
        "middle_name": "ARKADIYVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101271505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.