Individual provider Active NPI

Ilia Iliev, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1932562527
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
293543 Issued in NY
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

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190724002163 NY Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 2 organizations
I20200520002311 OH Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 1 organization
I20210709001184 PA Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 1 organization
I20211208000595 AZ Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 3 organizations
I20250128001553 KY Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 1 organization
I20250221003165 VA Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 1 organization
I20251001003777 TN Practitioner - Emergency Medicine 2062748353 Reassigns benefits to 2 organizations

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
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Sierra Estrellas Emergency Physicians LLCGroup PAC ID 5193002954, 38 clinicians
Eagle Creek Emergency Group, PCGroup PAC ID 2466714571, 21 clinicians

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 Hospital, Union City, TN, CCN 440130
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138937OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Family Medicine Current Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Sep 26, 2021 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Honorhealth Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Current Accepting new patients
Honorhealth CurrentSince Oct 1, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Dec 12, 2024 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2019 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince Jun 1, 2021 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Aug 25, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc Emergency Medicine CurrentSince Dec 12, 2024 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

  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.