Individual provider Active NPI

Yelena Shilimova, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1730144809
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
204311 Issued in NY
Practice address
1009 Brighton Beach Ave
2ND Floor
Brooklyn, NY 11235-5659
Phone
(718) 975-8500
Fax
(718) 975-8502
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 204311 NY Primary

Addresses

Primary practice location

1009 Brighton Beach Ave
2ND Floor
Brooklyn, NY 11235-5659

Mailing address

1009 Brighton Beach Ave
2ND Floor
Brooklyn, NY 11235-5659
Phone (718) 975-8500

Other identifiers 2

IdentifierTypeStateIssuer
01867656MedicaidNY
204311OtherNYLICENSE NUMBER

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
I20080812000112 NY Practitioner - Internal MedicinePractitioner - Endocrinology 0547334435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighton Medical Care Ny PLLCGroup PAC ID 7810275377, 16 clinicians

Practice addresses (Care Compare)

1009 Brighton Beach Ave
Suite 2
Brooklyn, NY 11235-5621
Phone (718) 975-8500

Merit-based Incentive Payment System (MIPS)

Final score
26.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204311NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Medical Care Ny PLLC CurrentSince Nov 21, 2018 Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

8918 Avenue L
Brooklyn, NY 11236
Phone (347) 221-8702

1009 Brighton Beach Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 231-4123

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: yelena.shilimova@multicaremed.ehi.direct-ci.com

Organizations & group practices 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1730144809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355659",
            "telephone_number": "718-975-8500",
            "fax_number": "718-975-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355659",
            "telephone_number": "718-975-8500",
            "fax_number": "718-975-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILIMOVA",
        "first_name": "YELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "204311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867656",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "204311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.