NPIMap

Individual provider Active NPI

Mikhail Losif Azrilevich, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1598749178
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD062068L Issued in PA
Practice address
9892 Bustleton Ave Ste 101
Philadelphia, PA 19115-2138
Phone
(215) 676-2741
Fax
(215) 676-2796
NPI assigned
Dec 6, 2005
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD062068L PA Primary

Addresses

Primary practice location

9892 Bustleton Ave Ste 101
Philadelphia, PA 19115-2138

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 926-9019

Other identifiers 12

IdentifierTypeStateIssuer
001663133MedicaidPA
117016OtherPAHIGHMARK BLUE SHIELD
0166313302OtherPAAMERICHOICE
2Y3072OtherPAHEALTH NET
0131367000OtherPAINDEPENDENCE BLUE CROSS
110150740OtherPARAILROAD MEDICARE
0866629OtherPAAETNA HMO
30033849OtherPAKEYSTONE MERCY HEALTH PLA
546193OtherPACOVENTRY HEALTH AMERICA
P945996OtherPAOXFORD
2871OtherPABRAVO HEALTH
5615579OtherPAAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050426001035 PA Practitioner - Internal Medicine 2466491824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

515 Pennsylvania Ave
Fort Washington, PA 19034-3314
Phone (215) 926-3535

7600 Central Ave
Philadelphia, PA 19111-2442
Phone (215) 333-7560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062068LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. Internal Medicine CurrentSince Mar 19, 1998 Accepting new patients
Temple Physicians Inc Internal Medicine CurrentSince Mar 19, 1998 Accepting new patients
Leonid Magidenko, MD, PC CurrentSince Nov 1, 2009 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Physicians Inc. Past Accepting new patients
Temple Physicians Inc Past Accepting new patients

Locations

518 Bustleton Pike
Fl 1
Fstrvl Trvose, PA 19053
Phone (215) 464-4060

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

9922 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-3300

Organizations & group practices 6

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 18

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

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1598749178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-926-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152138",
            "telephone_number": "215-676-2741",
            "fax_number": "215-676-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZRILEVICH",
        "first_name": "MIKHAIL",
        "middle_name": "LOSIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062068L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001663133",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "117016",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0166313302",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Y3072",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0131367000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110150740",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0866629",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "30033849",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH AMERICA",
            "identifier": "546193",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P945996",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "2871",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5615579",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.