Active NPI
Ilia Iliev, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 293543
- Practice address
- 121 Dekalb Ave
House Staff Administration
Brooklyn, NY 11201-5425 - Phone
- (718) 250-6604
- NPI assigned
- Mar 31, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 293543 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | MD471102 | PA | |
| Emergency Medicine Physician | 207P00000X | 25MA10861400 | NJ | |
| Emergency Medicine Physician | 207P00000X | 35.138937 | OH |
Addresses
Primary practice location
121 Dekalb Ave
House Staff Administration
Brooklyn, NY 11201-5425
Mailing address
121 Dekalb Ave
House Staff Administration
Brooklyn, NY 11201-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH, PA, AZ, KY, VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Bishop St
Union City, TN 38261-5403
Phone (901) 885-2410
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2100
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800
Hospital & facility affiliations
- Baptist Memorial Hospital Union City
- West Tennessee Healthcare Henry County Hospital
- Yuma Regional Medical Center
- Twin County Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.138937 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Sierra Estrellas Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients | |
| Honorhealth | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Exigence Medical of Binghamton PLLC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations (25 of 27)
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110
1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- iiliev690478@direct.bmhcc.org
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Family Medicine
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1578001319
-
- Emergency Medicine Physician
- Paris, TN
- NPI 1134627557
-
- Emergency Medical Services (Emergency Medicine) Physician
- Binghamton, NY
- NPI 1659464758
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Rural Health Clinic/Center
- Madisonville, KY
- NPI 1144804311
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
-
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1932562527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "HOUSE STAFF ADMINISTRATION",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "HOUSE STAFF ADMINISTRATION",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIEV",
"first_name": "ILIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "293543",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD471102",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA10861400",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.138937",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.