Individual provider Active NPI

Ilya Z Kreynin, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1841284627
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
155473 Issued in NY
Practice address
1335 N Astor St
Apt 15a
Chicago, IL 60610-2152
Phone
(212) 517-9356
NPI assigned
Sep 7, 2005
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 155473 NY Primary

Addresses

Primary practice location

1335 N Astor St
Apt 15a
Chicago, IL 60610-2152

Mailing address

1335 N Astor St
Apt 15a
Chicago, IL 60610-2152
Phone (212) 517-9356

Other identifiers 1

IdentifierTypeStateIssuer
00845698MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ikreyninmd70296@uchospital.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1841284627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N ASTOR ST",
            "address_2": "APT 15A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102152",
            "telephone_number": "212-517-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N ASTOR ST",
            "address_2": "APT 15A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102152",
            "telephone_number": "212-517-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYNIN",
        "first_name": "ILYA",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "155473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.