Individual provider Active NPI

Ilina Datkhaeva Pluym, MD

  • Maternal & Fetal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1801236401
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A147986 Issued in CA
Practice address
200 Medical Plaza Dr Suite 430
Los Angeles, CA 90095-2401
Phone
(310) 794-7274
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A147986 CA
Maternal & Fetal Medicine Physician 207VM0101X A147986 CA Primary

Addresses

Primary practice location

200 Medical Plaza Dr Suite 430
Los Angeles, CA 90095-2401

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 273-0641 ext. 11287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180607000403 CA Practitioner - Obstetrics/Gynecology 2163728643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 0143124289, 53 clinicians

Practice addresses (Care Compare)

1010 Veteran Ave
Los Angeles, CA 90024-2704
Phone (310) 825-7955

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 794-7274

200 Medical PLZ
Suite 430
Los Angeles, CA 90095-6957
Phone (310) 794-7274

757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
76.27
Promoting interoperability
100
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147986CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Obstetrics & Gynecology CurrentSince Apr 14, 2018 Accepting new patients
UC Regents Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Regents of the University of California PastSince Sep 6, 2020 Accepting new patients
UCLA Medical Group Maternal & Fetal Medicine Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

200 UCLA Medical Plz
Ste 220
Los Angeles, CA 90095
Phone (310) 794-7333

File 54456
Los Angeles, CA 90074

200 UCLA Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 208-4492

200 Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 794-8282

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

13160 Mindanao Way
Ste 317
Marina del Rey, CA 90292
Phone (310) 301-0040

2001 Santa Monica Blvd
Ste 380
Santa Monica, CA 90404
Phone (310) 899-7500

1245 16th St
Ste 202
Santa Monica, CA 90404
Phone (310) 453-1982

1245 16th St
Ste 312
Santa Monica, CA 90404
Phone (310) 453-1982

32144 Agoura Rd
Ste 100
Westlake Village, CA 91361
Phone (805) 557-7180

Interoperability endpoints

  • Direct secure messaging: ilina.pluymmd.p1@direct.plannedparenthoodla.nextgenshare.com
  • Direct secure messaging: idatkhaeva526476@direct.uclahealth.org

Organizations & group practices 6

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1801236401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA DR SUITE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952401",
            "telephone_number": "310-794-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-273-0641 x11287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUYM",
        "first_name": "ILINA",
        "middle_name": "DATKHAEVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A147986",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A147986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.