DR. RAFAEL FAZYLOV MD
NPI 1124181029
Surgery in Flushing, NY

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
5645 MAIN ST, RM M204, FLUSHING, NY 11355(718) 445-0220(718) 939-1167 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rafael Fazylov Md NPPES

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

DR. RAFAEL FAZYLOV MD (NPI 1124181029) is an individual surgery provider in Flushing, New York, licensed in New York (240907) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1124181029
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. RAFAEL FAZYLOVCredential: MD
Location Address5645 MAIN ST, RM M204Flushing, NY 11355-5045
Mailing Address5645 Main St, Rm M204Flushing, NY 11355-5045 · (718) 445-0220 · Fax (718) 939-1167
Fax(718) 939-1167
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124181029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 240907
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5645 MAIN ST, Flushing, NY 11355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Fazylov Md 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 ID8325130123
PECOS Enrollment IDI20070824000333
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services23 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330196
Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Fazylov's NPI number?

The NPI number for Rafael Fazylov is 1124181029. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Rafael Fazylov located?

Rafael Fazylov practices at 5645 Main St Rm M204, Flushing, NY 11355. The listed phone number is (718) 445-0220.

What is Rafael Fazylov's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Fazylov enrolled in Medicare?

Yes. Rafael Fazylov 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.

Is Rafael Fazylov affiliated with any hospitals?

According to CMS data, Rafael Fazylov is affiliated with South Brooklyn Health.

When was this NPI record last updated?

The NPPES record for Rafael Fazylov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.