1. Home
  2. Directory
  3. New York
  4. Rockaway Park
  5. Psychiatry Neurology
  6. NPI Profile

RAFAEL YAKUTILOV NEUROLOGY, PC
NPI 1073708269
Psychiatry & Neurology - Neurology in Rockaway Park, NY

Active since September 11, 2007
15 BEACH 105TH ST, ROCKAWAY PARK, NY 11694(718) 474-0023(718) 474-2033 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rafael Yakutilov Neurology, Pc NPPES

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

RAFAEL YAKUTILOV NEUROLOGY, PC (NPI 1073708269) is a healthcare organization registered as a neurology in Rockaway Park, New York and active in the NPI registry since September 2007. The organization lists Rafael Yakutilov, Physician, Neurologist, as its authorized official.

NPPES Registry Identity

NPI1073708269
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameRAFAEL YAKUTILOV NEUROLOGY, PC
Location Address15 BEACH 105TH STRockaway Park, NY 11694-2640
Mailing Address15 Beach 105th StRockaway Park, NY 11694-2640 · (718) 474-0023 · Fax (718) 474-2033
Phone(718) 474-0023
Fax(718) 474-2033
Organization SubpartNo
Authorized OfficialRafael YakutilovPhysician, Neurologist · (718) 474-0023
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJanuary 30, 2009
✔ NPI 1073708269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
15 BEACH 105TH ST, Rockaway Park, NY 11694
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Yakutilov Neurology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rafael Yakutilov Neurology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rafael Yakutilov, M.D.
Neurology
NPI 1003811720
15 BEACH 105TH ST
Rockaway Park, NY 11694
(718) 474-0023
✔ PECOS✔ Accepts MedicareSame address

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

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 Rafael Yakutilov Neurology, PC's NPI number?

The NPI number for Rafael Yakutilov Neurology, PC is 1073708269. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Rafael Yakutilov Neurology, PC located?

Rafael Yakutilov Neurology, PC is located at 15 Beach 105th St, Rockaway Park, NY 11694. The listed phone number is (718) 474-0023.

What is Rafael Yakutilov Neurology, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rafael Yakutilov Neurology, PC enrolled in Medicare?

Yes. Rafael Yakutilov Neurology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rafael Yakutilov Neurology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Rafael Yakutilov Neurology, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Yakutilov Neurology, PC was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.