Active NPI
Benedikt Ilyaguyev
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 309818-01
- Practice address
- One Gustave L. Levy Place
Floor 12, 1620
New York, NY 10029 - Phone
- (847) 338-6323
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 309818 | NY | |
| Emergency Medicine Physician | 207P00000X | 309818-01 | NY | Primary |
Addresses
Primary practice location
One Gustave L. Levy Place
Floor 12, 1620
New York, NY 10029
Mailing address
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 571-2901
Other practice location 1
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (212) 987-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309818 | NY | MD | Emergency Medicine Physician |
| 309818-01 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| Fpa Hospital Based | Single Specialty | Current | Accepting new patients |
| Fpa Hospital Based | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
| North Shore-Lij Medical PC | Single Specialty | Current | Accepting new patients |
| Fpa Hospital Based | Single Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Single Specialty | Current | Accepting new patients |
Locations
3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
1 Gustave L Levy Pl
Fl 12
New York, NY 10029
Phone (212) 241-1518
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bilyaguyev65185@northwell.direct-ci.com
Organizations & group practices 8
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.
-
dba Rehabilitation Fluoroscopy Medicine Department of Mount Sinai
- Rehabilitation Practitioner
- New York, NY
- NPI 1477899078
Single Specialty
-
dba FPA Urgent Care Center
- Emergency Medicine Physician
- New York, NY
- NPI 1124392238
Single Specialty
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Single Specialty
-
dba FPA Hospital Based MSMC Emergency Physicians
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
Single Specialty
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
Single Specialty
-
dba Emergency Medical Associates
- Emergency Medicine Physician
- New York, NY
- NPI 1346908662
Single Specialty
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1679070932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342625",
"telephone_number": "718-571-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE GUSTAVE L. LEVY PLACE",
"address_2": "FLOOR 12, 1620",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "847-338-6323"
}
],
"practiceLocations": [
{
"address_1": "475 Seaview Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103053436",
"country_code": "US",
"telephone_number": "718-226-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILYAGUYEV",
"first_name": "BENEDIKT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NY",
"license": "309818",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "309818-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.