Individual provider Active NPI

Ilya Grinberg, M.D

  • Anesthesiology Physician
  • Woodside, NY
National Provider Identifier
1558741124
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME148804 Issued in FL
Practice address
3747 60TH St
Apartment 1a
Woodside, NY 11377-2585
Phone
(732) 685-7374
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 298088 NY
Anesthesiology Physician 207L00000X ME148804 FL Primary

Addresses

Primary practice location

3747 60TH St
Apartment 1a
Woodside, NY 11377-2585

Mailing address

3747 60TH St
Apartment 1a
Woodside, NY 11377-2585
Phone (732) 685-7374

Other identifiers 1

IdentifierTypeStateIssuer
ME148804OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210831003126 FL Practitioner - Anesthesiology 2466789367 Reassigns benefits to 12 organizations
I20250218000341 TN Practitioner - Anesthesiology 2466789367 Reassigns benefits to 2 organizations
I20260219003638 GA Practitioner - Anesthesiology 2466789367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Drexel University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesiology Associates of TN PCGroup PAC ID 8527419092, 145 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians
Medical Center Anesthesia, IncGroup PAC ID 2769629187, 107 clinicians
Anesthesia Physician Solutions of South Florida, LLCGroup PAC ID 4688805286, 238 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Red Reef Anesthesia IncGroup PAC ID 3375078108, 31 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000

1285 Creekside Blvd E
Naples, FL 34109-0590
Phone (239) 529-1800

27 Medical Ctr Dr
Suite 2
Jackson, TN 38301-3949
Phone (731) 426-0310

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (954) 939-5000

560 Jackson St N
Suite 200
St Petersburg, FL 33705-1449
Phone (727) 820-7500

9075 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 398-9898

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148804FLMDAnesthesiology Physician
298088NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Resource Anesthesiology Associates of TN PC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Blue Cloud Anesthesia, LLC Anesthesiology CurrentSince Sep 12, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
KND Development 59, LLC CurrentSince Oct 1, 2023 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Oct 16, 2024 Accepting new patients
American Anesthesiology of Florida, Inc Anesthesiology CurrentSince Jul 25, 2021 Accepting new patients
East Coast Anesthesia LLC Anesthesiology CurrentSince Aug 18, 2022 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Red Reef Anesthesia Inc Anesthesiology CurrentSince Jan 5, 2025 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC Anesthesiology CurrentSince Jan 13, 2026 Accepting new patients
KND Development 59, LLC CurrentSince Oct 1, 2023 Accepting new patients
Blue Cloud Anesthesia, LLC Anesthesiology CurrentSince Sep 12, 2025 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Mar 9, 2026 Accepting new patients
Medical Center Anesthesia Inc. Anesthesiology CurrentSince Nov 23, 2024 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology Current Accepting new patients
American Anesthesiology of Florida, Inc Anesthesiology CurrentSince Jul 25, 2021 Accepting new patients

Locations (25 of 33)

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

7408 Lake Worth Rd
Ste 900
Lake Worth, FL 33467
Phone (561) 433-5700

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1285 Creekside Blvd E
Naples, FL 34109
Phone (239) 260-6631

4650 N Dixie Hwy
Oakland Park, FL 33334
Phone (717) 759-4375

1620 S Congress Ave
Ste 101
Palm Springs, FL 33461
Phone (561) 291-9839

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

9075 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 393-9898

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

Organizations & group practices 23

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.

View all 23

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1558741124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 60TH ST",
            "address_2": "APARTMENT 1A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772585",
            "telephone_number": "732-685-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 60TH ST",
            "address_2": "APARTMENT 1A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772585",
            "telephone_number": "732-685-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "298088",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME148804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME148804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.