Irina Klyatis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

225505 Issued in NY

Practice address

180 Marble Ave
Pleasantville, NY 10570-3424

Phone

(914) 769-7300

Fax

(914) 769-7328

NPI assigned

Oct 17, 2005

Last updated

Apr 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• The Westchester Medical Practice, PC

  dba NewYork-Presbyterian Medical Group/Hudson Valley

  • Specialist
  • Yorktown Heights, NY
  • NPI 1225222953
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  dba Department of Medicine

  • Internal Medicine Physician
  • New York, NY
  • NPI 1437176047
  Medicare reassignment NPD
• The Westchester Medical Practice, PC

  dba Newyork-Presbyterian Medical Group/Hudson Valley

  • Multi-Specialty Clinic/Center
  • Cortlandt Manor, NY
  • NPI 1982109120
  NPD

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1811986466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHURCH ST",
            "address_2": "SUITE 200",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624831",
            "telephone_number": "914-923-9414",
            "fax_number": "914-923-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MARBLE AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703424",
            "telephone_number": "914-769-7300",
            "fax_number": "914-769-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYATIS",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357399",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811986466",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Grace Kibel, LCSW
• Corinne Kidder
• Juliann Iona King
• Yolanda King
• Sylvain Kleinhaus, MD
• Heidi A Knoll, CSW, ACSW
• James Kramer, LCSW
• Samantha M Kwieraga, PT, DPT, CSCS
• Manjola Laci
• Lactation Help Ny LLC

• Family Medicine Physician in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.