Active NPI
Stella Ilyayeva, MD
- Endocrinology, Diabetes & Metabolism Physician
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 211824
- Practice address
- 9725 63Rd Dr
Rego Park, NY 11374-2229 - Phone
- (718) 275-2900
- Fax
- (718) 275-2944
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 211824 | NY | Primary |
Addresses
Primary practice location
9725 63Rd Dr
Rego Park, NY 11374-2229
Mailing address
9725 63Rd Dr
Rego Park, NY 11374-2229
Phone (718) 275-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02148396 | Medicaid | NY |
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6860 Austin St
Forest Hills, NY 11375-4245
Phone (718) 997-7100
9725 63Rd Dr
Rego Park, NY 11374-2229
Phone (718) 275-2900
Merit-based Incentive Payment System (MIPS)
- Final score
- 32.87 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 56.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Professional Medical Services, PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Atlantic Endocrinology and Diabetes PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Atlantic Comprehensive Medical PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| Medical Office of Dr Paul Mathieu PC | Past | Accepting new patients | |
| Lev Yagudayev Physician, PC | Past | Accepting new patients | |
| CMC Housestaff | Past | Accepting new patients | |
| Wyckoff Medical Services, P C | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
9525 Queens Blvd
Ste 520
Rego Park, NY 11374
Phone (718) 896-4820
9725 63rd Dr
Rego Park, NY 11374
Phone (718) 271-8185
9525 Queens Blvd
Ste 1
Rego Park, NY 11374
Phone (718) 558-6200
9725 63rd Dr
Fl 2
Rego Park, NY 11374
Phone (718) 275-2900
9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000
9725 63rd Dr
#1
Rego Park, NY 11374
Phone (718) 275-2900
9525 Queens Blvd
#520
Rego Park, NY 11374
Phone (646) 270-2179
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- stellailyayeva@whmc.allscriptsdirect.net
Organizations & group practices 9
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Rego Park, NY
- NPI 1407059199
-
- Endocrinology, Diabetes & Metabolism Physician
- Rego Park, NY
- NPI 1619838703
-
- Clinic/Center
- Forest Hills, NY
- NPI 1609342898
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
Endocrinology, Diabetes & Metabolism
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
-
- Family Medicine Physician
- Elmhurst, NY
- NPI 1063572212
-
- Internal Medicine Physician
- Briarwood, NY
- NPI 1528490026
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1134391279
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1619082625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742229",
"telephone_number": "718-275-2900",
"fax_number": "718-275-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742229",
"telephone_number": "718-275-2900",
"fax_number": "718-275-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILYAYEVA",
"first_name": "STELLA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "211824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02148396",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.