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OLGA YELIOSOF M.D.
NPI 1063850030
Pediatrics in Staten Island, NY

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
2066 RICHMOND AVE, STATEN ISLAND, NY 10314(718) 982-9001(718) 982-9008 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olga Yeliosof M.d. NPPES

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

OLGA YELIOSOF M.D. (NPI 1063850030) is an individual pediatrics provider in Staten Island, New York, licensed in New York (285749) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063850030
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameOLGA YELIOSOFCredential: M.D.
Location Address2066 RICHMOND AVEStaten Island, NY 10314-3960
Mailing Address2066 Richmond AveStaten Island, NY 10314-3960 · (718) 982-9001 · Fax (718) 982-9008
Phone(718) 982-9001
Fax(718) 982-9008
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateJanuary 3, 2017
✔ NPI 1063850030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 285749
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2066 RICHMOND AVE, Staten Island, NY 10314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olga Yeliosof M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446664635
PECOS Enrollment IDI20210129000986
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.

Medicare Billing Reassignment

Medicare enrollment records show Olga Yeliosof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
26 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

MARIAN L MARTIN NP
Nurse Practitioner (Family)
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 982-9001
DR. JIAN KANG MD
Pediatrics
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 982-9001
RICHMOND SURGICAL CENTER CORP.
Clinic/Center (Ambulatory Surgical)
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 608-1111
MARIA LAURA MCGRAIL RPA-C
Physician Assistant
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 982-9001
SRI LALITHA GARIMELLA MD
Pediatrics
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 982-9001
DR. SIMON G KOKKINAKIS M.D.
Obstetrics & Gynecology
2066 RICHMOND AVE, SUITE 1R
STATEN ISLAND, NY 10314
Richmond County (718) 477-9000
MS. BRITTANY LAUREN WILSON PA
Physician Assistant (Medical)
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 982-9001
RICHMOND SURGICAL GPS PC
Clinic/Center (Ambulatory Surgical)
2066 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (718) 701-4766

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 Olga Yeliosof's NPI number?

The NPI number for Olga Yeliosof is 1063850030. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Olga Yeliosof located?

Olga Yeliosof practices at 2066 Richmond Ave, Staten Island, NY 10314. The listed phone number is (718) 982-9001.

What is Olga Yeliosof's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Olga Yeliosof enrolled in Medicare?

Yes. Olga Yeliosof is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Olga Yeliosof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olga Yeliosof reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olga Yeliosof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olga Yeliosof was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.