NPIMap

Individual provider Active NPI

Mila Mogilevsky, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1518152305
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
251416 Issued in NY
Practice address
626 Sheepshead Bay Rd Ste 520
Brooklyn, NY 11224-3606
Phone
(929) 363-0303
Fax
(929) 363-0399
NPI assigned
Sep 13, 2007
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 36116446 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 251416 NY Primary

Addresses

Primary practice location

626 Sheepshead Bay Rd Ste 520
Brooklyn, NY 11224-3606

Mailing address

1204 Avenue U Ste 1075
Brooklyn, NY 11229-4107
Phone (347) 252-6732

Other practice location 1

369 Lexington Ave Fl 19
New York, NY 10017-6522
Phone (929) 363-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000372 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6406904945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unique Pain Medicine PLLCGroup PAC ID 4688858616, 4 clinicians

Practice addresses (Care Compare)

626 Sheepshead Bay Rd
Suite 520
Brooklyn, NY 11224-3606
Phone (929) 363-0303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.59 of 100Reported as individual
Quality
43.33
Improvement activities
40
Cost
40.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116446ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kotlyar Medical PC CurrentSince Oct 31, 2023 Accepting new patients
SK Neurology PC PastSince Nov 17, 2019 Accepting new patients
Larisa N. Likver, Medical P.C. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

626 Sheepshead Bay Rd
Ste 520
Brooklyn, NY 11224
Phone (929) 363-0303

369 Lexington Ave
Rm 800
New York, NY 10017
Phone (347) 252-6732

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHIEDD/Endpoint/IHIEDD
  • Direct secure messaging: mmogilevsky679622@nychhc.direct-ci.com

Organizations & group practices 5

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1518152305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 AVENUE U STE 1075",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294107",
            "telephone_number": "347-252-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SHEEPSHEAD BAY RD STE 520",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243606",
            "telephone_number": "929-363-0303",
            "fax_number": "929-363-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 Lexington Ave Fl 19",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176522",
            "country_code": "US",
            "telephone_number": "929-363-0303",
            "fax_number": "929-363-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGILEVSKY",
        "first_name": "MILA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "36116446",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "251416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.