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ILYA NIKOLAEVICH BOYKOV MD
NPI 1053161067
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Active since March 25, 2024PECOS Enrolled
1 MEDICAL DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ilya Nikolaevich Boykov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILYA NIKOLAEVICH BOYKOV MD (NPI 1053161067) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053161067
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameILYA NIKOLAEVICH BOYKOVCredential: MD
Location Address1 MEDICAL DRLebanon, NH 03756-1000
Mailing Address1 Medical Center Dr, Dept Of RadiologyLebanon, NH 03756-0001 · (603) 650-5000
Phone(603) 650-5000
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1053161067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL DR, Lebanon, NH 03756
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilya Nikolaevich Boykov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY L SWANN APRN
Nurse Practitioner
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-6224
DR. JESSICA MARGARET SIN M.D., PH.D.
Radiology (Diagnostic Radiology)
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-7650
MR. JUSTIN BERNARD MONTGOMERY FNP-C
Nurse Practitioner (Family)
1 MEDICAL DR, ATTN CENTERS FOR HEALTHY AGING
LEBANON, NH 03756
Grafton County (603) 650-5000
MICHELLE GAFFNEY LAIN MD, MS
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000
JENNIFER ANNE POPIES AGACNP-BC, ACNS-BC
Nurse Practitioner (Adult Health)
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000
XAVIER FOWLER
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (845) 893-2210
NATALIE NICHOLE ROBERTSON MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000
HANNAH KING BRILLING LD, RD
Dietitian, Registered
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilya Boykov's NPI number?

The NPI number for Ilya Boykov is 1053161067. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Ilya Boykov located?

Ilya Boykov practices at 1 Medical Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Ilya Boykov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ilya Boykov enrolled in Medicare?

Yes. Ilya Boykov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilya Boykov was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.