Dessislava Dimotrova Iliev, M.D.

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

24023 Issued in MS

Practice address

2500 North State Street
Department of Anesthesiology, Suite S108-a
Jackson, MS 39216

Phone

(601) 984-5936

Fax

(601) 984-5939

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dessislava D Buchkova Other name

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

Anesthesiology

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Hudson Health Anesthesia PLLCGroup PAC ID 1052702883, 49 clinicians

Hudson Ambulatory Medical PLLCGroup PAC ID 9335531193, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184
• Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
• Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
• St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: dei9009@direct.nyp.org
• Direct secure messaging: dbuchkova@montefioredirect.com

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.

• Hudson Ambulatory Medical PLLC

  • Anesthesiology Physician
  • Jersey City, NJ
  • NPI 1447917596

  NY

  Medicare reassignment Care Compare group NPD
• Hudson Health Anesthesia PLLC

  • Anesthesiology Physician
  • Cortlandt Manor, NY
  • NPI 1619633898
  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Premier Medical Group of the Hudson Valley P.C.

  • Urology Physician
  • Poughkeepsie, NY
  • NPI 1255437166
  Medicare reassignment NPD
• Singular Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Hartsdale, NY
  • NPI 1881086718
  Medicare reassignment NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD
• Premier Medical Group of the Hudson Valley, P.C.

  • Podiatrist
  • Wappingers Falls, NY
  • NPI 1467290130
  NPD
• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  NPD (past)
• New York Advanced Surgical Intervention Care, PLLC

  • Pain Clinic/Center
  • Bronx, NY
  • NPI 1457537227
  NPD (past)
• Valhalla Anesthesia Associates, PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1124070800
  NPD (past)

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

• Hudson Valley Hospital Center

  • General Acute Care Hospital
  • Cortlandt Manor, NY
  • NPI 1881659274
  Care Compare affiliation
• Montefiore Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1952476988
  Care Compare affiliation
• Montefiore New Rochelle Hospital

  • General Acute Care Hospital
  • New Rochelle, NY
  • NPI 1720414154
  Care Compare affiliation
• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1982762845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY, SUITE S108-A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-984-5936",
            "fax_number": "601-984-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY, SUITE S108-A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-984-5936",
            "fax_number": "601-984-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIEV",
        "first_name": "DESSISLAVA",
        "middle_name": "DIMOTROVA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MS",
            "license": "24023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03620888",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESSISLAVA",
            "last_name": "BUCHKOVA",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pediatric Anesthesiology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatric Anesthesiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.