Stella Ilyaev, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225936 Issued in NY

Practice address

5629 Metropolitan Ave
Ridgewood, NY 11385-1975

Phone

(718) 418-0300

Fax

(718) 418-0301

NPI assigned

Jul 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Brooklyn Medical Care PCGroup PAC ID 6002844933, 4 clinicians

MK Healthcare Medical PCGroup PAC ID 8123371978, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Merit-based Incentive Payment System (MIPS)

Final score

44.06 of 100Reported as individual

Quality

25

Improvement activities

0

Cost

80.19

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

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.

• Ilyaev Medicine PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1922853464
  Medicare reassignment NPD Authorized official
• MK Healthcare Medical PC

  • Specialist
  • Ridgewood, NY
  • NPI 1316426299
  Medicare reassignment Care Compare group NPD
• South Brooklyn Medical Care, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1639246150
  Medicare reassignment Care Compare group NPD
• Care 4 U Medical PC

  • General Practice Physician
  • Rego Park, NY
  • NPI 1558435974
  NPD (past)
• Regional Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1508857343
  NPD (past)

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

• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1912907742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 99TH ST",
            "address_2": "APT #415",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742654",
            "telephone_number": "171-899-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851975",
            "telephone_number": "718-418-0300",
            "fax_number": "718-418-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAEV",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "225936-4W",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02361360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I&Y Pharmacy Corp
• Rachel Ibarreta, PT
• Peter Ibrahim, OTR/L
• Clement Enorense Idehen, O.D
• Virginia V Ilie, NP
• Informacion Sin Barreras Ny Inc.
• Saif Inshanally, RPH
• Integrative Care Group LCSW PLLC
• Intercounty OBGYN
• Deidre Ippolito

• Internal Medicine Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.