Active NPI
Ilya Z Kreynin, M.D.
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1841284627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 155473
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00845698 | Medicaid | NY |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University Medical Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba NYUMC Non-Invasive Diagnostic Associates
- Cardiovascular Disease Physician
- New York, NY
- NPI 1972553139
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.