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DR. LILY RYZHKOVA M.D.
NPI 1114376381
Family Medicine in Los Angeles, CA

Active since June 08, 2016PECOS Enrolled
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033(323) 442-5900 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2022, Feb 1, 2021 (2 updates tracked since 2021).

About Dr. Lily Ryzhkova M.d. NPPES

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

DR. LILY RYZHKOVA M.D. (NPI 1114376381) is an individual family medicine provider in Los Angeles, California, licensed in California (A170081) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114376381
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LILY RYZHKOVACredential: M.D.
Location Address1520 SAN PABLO ST STE 1300Los Angeles, CA 90033-5312
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5900
Phone(323) 442-5900
Sole ProprietorYes
Enumeration DateJune 8, 2016
Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1114376381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A170081
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1520 SAN PABLO ST STE 1300, Los Angeles, CA 90033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lily Ryzhkova M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lily Ryzhkova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usc Care Medical Group, Inc
Same address
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955
Presbyterian Healthcare Services
647 mi
Critical Access
1202 HIGHWAY 60 WEST
Socorro, NM 87801
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1336124205 (505) 835-1140

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
222 services191 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

DR. OLYMPIA ALEXANDRA KABOBEL D.O. M.P.H
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
ROMINA SIFUENTES PALOMINO M.D.
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
PATTY P. PINANONG MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
WEI HSUAN WANG MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
JESSLYN GONZALEZ MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273
RONALD PAUL OLSON MD
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
KATIA LEE MARGARET CNOP DO
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900
JUN KYOUNG MD
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900

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 Lily Ryzhkova's NPI number?

The NPI number for Lily Ryzhkova is 1114376381. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Lily Ryzhkova located?

Lily Ryzhkova practices at 1520 San Pablo St Ste 1300, Los Angeles, CA 90033. The listed phone number is (323) 442-5900.

What is Lily Ryzhkova's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lily Ryzhkova enrolled in Medicare?

Yes. Lily Ryzhkova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lily Ryzhkova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Ryzhkova reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Presbyterian Healthcare Services (Socorro, NM). Each 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 Lily Ryzhkova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Ryzhkova accept?

Health plans from Blue Cross Blue Shield of Wyoming list Lily Ryzhkova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lily Ryzhkova was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.