Individual provider Active NPI

Arkadiy Izrailov, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891700605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218546 Issued in NY
Practice address
4819 14TH Ave
Brooklyn, NY 11219-3119
Phone
(718) 438-0707
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218546 NY Primary

Addresses

Primary practice location

4819 14TH Ave
Brooklyn, NY 11219-3119

Mailing address

4819 14TH Ave
Brooklyn, NY 11219-3119
Phone (718) 438-0707

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041008000421 NY Practitioner - Internal Medicine 3375502966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4819 14TH Ave
Brooklyn, NY 11219-3119
Phone (718) 438-0707

4819 14TH Ave
Brooklyn, NY 11219-3166

6224 Ellwell Cresent
Rego Park, NY 11374-4838
Phone (718) 415-1875

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Vnsny Hospice and Palliative Care Hospice, New York, NY, CCN 331519
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Medical Care PLLC Internal Medicine CurrentSince Apr 20, 2005 Accepting new patients

Networks

  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJFAA/Endpoint/JFJFAA
  • Direct secure messaging: ari9010@direct.nyp.org
  • Direct secure messaging: arkadiyizrailov@mai.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891700605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193119",
            "telephone_number": "718-438-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193119",
            "telephone_number": "718-438-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZRAILOV",
        "first_name": "ARKADIY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.