NPIMap

Individual provider Active NPI

Ilya Gelman, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1811008022
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A56511 Issued in CA
Practice address
6333 Wilshire Blvd
Suite 200
Los Angeles, CA 90048-5702
Phone
(323) 653-2504
Fax
(323) 653-2515
NPI assigned
Aug 31, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A56511 CA Primary

Addresses

Primary practice location

6333 Wilshire Blvd
Suite 200
Los Angeles, CA 90048-5702

Mailing address

6333 Wilshire Blvd
Suite 200
Los Angeles, CA 90048-5702
Phone (323) 653-2504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000357 CA Practitioner - NephrologyPractitioner - Internal Medicine 2062584691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6333 Wilshire Blvd
Suite 200
Los Angeles, CA 90048-5724
Phone (323) 653-2504

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56511CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Reznik M. D. Inc Current Accepting new patients
Ilya Gelman, M.D., a Professional Corporation Nephrology CurrentSince Jan 22, 1997 Accepting new patients
Ilya Gelman M. D., a Professional Corporation PastSince Jun 20, 2000 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

6333 Wilshire Blvd
Ste 200
West Hollywood, CA 90048
Phone (310) 659-3759

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1811008022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-653-2504",
            "fax_number": "323-653-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-653-2504",
            "fax_number": "323-653-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELMAN",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A56511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.