NPIMap

Organization Active NPI

Ilyagu Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1730859935
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ILYAGU MEDICAL PC
Practice address
17 W 9TH St
Brooklyn, NY 11231-2501
Phone
(646) 687-2838
NPI assigned
Sep 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Nabeel Babar
Title
Administrator
Phone
(646) 687-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17 W 9TH St
Brooklyn, NY 11231-2501

Mailing address

221 Sea Breeze Ave Apt PH2B
Brooklyn, NY 11224-3454
Phone (646) 687-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220711001740 NY Part B Supplier - Clinic/Group Practice 1658751417 Receives reassigned benefits from 8 practitioners
Practice locations: Staten Island, NY; Spencerport, NY; Rockville Centre, NY; Rockaway Park, NY; Rochester, NY; New York, NY; Forest Hills, NY; Flushing, NY…

National Provider Directory

National Provider Directory

Locations

809 Southern Blvd
Bronx, NY 10459
Phone (347) 326-8999

202 Caton Ave
Brooklyn, NY 11218

14031 Cherry Ave
Ste Ca
Flushing, NY 11355

6435 108th St
Forest Hills, NY 11375
Phone (718) 400-9100

165 N Village Ave
#200A
Rockville Centre, NY 11570

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1730859935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SEA BREEZE AVE APT PH2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243454",
            "telephone_number": "646-687-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312501",
            "telephone_number": "646-687-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILYAGU MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "BABAR",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-687-2838"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.