Individual provider Active NPI

Yelena Sokolova, MD

  • Rheumatology Physician
  • Brooklyn, NY
National Provider Identifier
1629002548
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
210765 Issued in NY
Practice address
3567 Shore Parkway
2ND Floor
Brooklyn, NY 11235-2668
Phone
(718) 648-8877
Fax
(718) 648-4647
NPI assigned
Jul 10, 2006
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210765 NY
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 210765 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 210765 NY
Rheumatology Physician 207RR0500X 210765 NY Primary

Addresses

Primary practice location

3567 Shore Parkway
2ND Floor
Brooklyn, NY 11235-2668

Mailing address

3567 Shore Parkway
2ND Floor
Brooklyn, NY 11235-2668
Phone (718) 648-8877

Other identifiers 1

IdentifierTypeStateIssuer
02110410MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000614 NY Practitioner - RheumatologyPractitioner - Internal Medicine 4183722408 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3567 Shore Pkwy
Brooklyn, NY 11235-2668
Phone (718) 648-8877

Merit-based Incentive Payment System (MIPS)

Final score
25.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210765NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yelena Sokolova, MD Rheumatology PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1629002548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 SHORE PARKWAY",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352668",
            "telephone_number": "718-648-8877",
            "fax_number": "718-648-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 SHORE PARKWAY",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352668",
            "telephone_number": "718-648-8877",
            "fax_number": "718-648-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOVA",
        "first_name": "YELENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210765",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "210765",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "210765",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "210765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.