Individual provider Active NPI

Aleksandr Ilyayev, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1962478438
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236023 Issued in NY
Practice address
1651 Coney Island Ave
Brooklyn, NY 11230-5849
Phone
(718) 382-6101
Fax
(718) 382-6103
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 236023 NY Primary

Addresses

Primary practice location

1651 Coney Island Ave
Brooklyn, NY 11230-5849

Mailing address

477 E 9TH St
Brooklyn, NY 11218-5275
Phone (718) 382-6101

Other identifiers 3

IdentifierTypeStateIssuer
P00238935OtherNYRAILROAD
1629Q1OtherNYBLUECROSS BLUESHIELD
02668555MedicaidNY

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
I20050820000107 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 4183654999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1651 Coney Island Ave
Brooklyn, NY 11230-5849
Phone (718) 382-6101

Hospital & facility affiliations

  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236023NYMDInternal Medicine Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Aleksandr Ilyayev Medical PC Single Specialty CurrentSince Jan 1, 2017 Accepting new patients
Fpa Hospital Based Single Specialty Current Accepting new patients
Emergency Care Services of New York, P.C. Single Specialty CurrentSince Jun 1, 2016 Accepting new patients
Bedford Stuy Emergency Physicians Single Specialty Past Accepting new patients
Interfaith Emergency Medicine, P.C. Single Specialty Past Accepting new patients
Union Square Medical Imaging and Mammography PC Single Specialty Past Accepting new patients

Locations

1651 Coney Island Ave
Ste 5
Brooklyn, NY 11230
Phone (718) 627-0770

1651 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 382-2204

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

Networks

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

Organizations & group practices 6

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 3

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1962478438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185275",
            "telephone_number": "718-382-6101",
            "fax_number": "718-382-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305849",
            "telephone_number": "718-382-6101",
            "fax_number": "718-382-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAYEV",
        "first_name": "ALEKSANDR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00238935",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1629Q1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02668555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.