Individual provider Active NPI

Bella Zimilevich, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1972799161
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
251120 Issued in NY
Practice address
6301 Mill LN
Brooklyn, NY 11234-5512
Phone
(718) 942-4600
Fax
(718) 942-4605
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 045858 CT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 251120 NY Primary

Addresses

Primary practice location

6301 Mill LN
Brooklyn, NY 11234-5512

Mailing address

6301 Mill LN
Brooklyn, NY 11234-5512
Phone (718) 942-4600

Other identifiers 2

IdentifierTypeStateIssuer
251120OtherNYLICENSE
045858OtherCTLICENSE

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
I20090217000655 NY Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Geriatric Medicine 4284720228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6301 Mill LN
Brooklyn, NY 11234-5512
Phone (718) 942-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Medical PC CurrentSince Dec 1, 2012 Accepting new patients
Amerirehab Services PT PC Past Accepting new patients
Amerihealth Medical P.C PastSince Apr 1, 2012 Accepting new patients
Well Plus Medical PC PastSince Aug 1, 2008 Accepting new patients
University Physicians Group P C Geriatric Medicine Past Accepting new patients

Locations

6301 Mill Ln
Brooklyn, NY 11234
Phone (718) 942-4600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1972799161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MILL LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345512",
            "telephone_number": "718-942-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MILL LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345512",
            "telephone_number": "718-942-4600",
            "fax_number": "718-942-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMILEVICH",
        "first_name": "BELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "045858",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "251120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "251120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "045858",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.