Individual provider Active NPI

Stella Ilyayeva, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Rego Park, NY
National Provider Identifier
1619082625
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
211824 Issued in NY
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

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02148396MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031120000268 NY Practitioner - Internal MedicinePractitioner - Endocrinology 8820902489 Reassigns benefits to 3 organizations
Practice locations: Rego Park, NY
I20260102000695 NY Practitioner - Endocrinology 8820902489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ajay 28 LLCGroup PAC ID 9830436328, 16 clinicians
Atlantic Endocrinology and Diabetes PCGroup PAC ID 8325952971, 4 clinicians

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 100Reported as individual
Quality
15
Improvement activities
0
Cost
56.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2015 Accepting new patients
Atlantic Endocrinology and Diabetes PC Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2002 Accepting new patients
Atlantic Comprehensive Medical PC Endocrinology, Diabetes & Metabolism CurrentSince Dec 24, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.