Individual provider Active NPI

Erik Ilyayev, M.D

  • Internal Medicine Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1891091484
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME113693 Issued in FL
Practice address
323 Sunny Isles Blvd Ste 733
Sunny Isles Beach, FL 33160-4681
Phone
(305) 814-4919
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265676 NY
Internal Medicine Physician 207R00000X ME113693 FL Primary

Addresses

Primary practice location

323 Sunny Isles Blvd Ste 733
Sunny Isles Beach, FL 33160-4681

Mailing address

323 Sunny Isles Blvd Ste 733
Sunny Isles Beach, FL 33160-4681
Phone (305) 814-4919

Other practice location 1

7224 Kissena Blvd Ste 1H
Flushing, NY 11367-2716
Phone (718) 544-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210728004148 FL Practitioner - Internal Medicine 9931355872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medbetter Health PAGroup PAC ID 4284027731, 10 clinicians

Practice addresses (Care Compare)

323 Sunny Isles Blvd
Suite 733
Sunny Isles Beach, FL 33160-4681
Phone (305) 339-1756

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265676NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medbetter Health PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Kissena Dental Care PC PastSince Aug 26, 2012 Accepting new patients
Samuel Lupin MD PC PastSince Nov 1, 2009 Accepting new patients

Locations

3100 Ray Ferrero Jr Blvd
Davie, FL 33314
Phone (305) 339-1756

3100 Ray Ferrero Jr Blvd
Ste 5031A
Davie, FL 33314

323 Sunny Isles Blvd
Ste 733
Sunny Isles Beach, FL 33160
Phone (305) 339-1756

Organizations & group practices 3

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1891091484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SUNNY ISLES BLVD STE 733",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604681",
            "telephone_number": "305-814-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SUNNY ISLES BLVD STE 733",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604681",
            "telephone_number": "305-814-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7224 Kissena Blvd Ste 1H",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113672716",
            "country_code": "US",
            "telephone_number": "718-544-7133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILYAYEV",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265676",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

Verify at the official NPI Registry.