1. Home
  2. Directory
  3. Florida
  4. Plantation
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. ILYA PAVLOV DO
NPI 1366139800
Student in an Organized Health Care Education/Training Program in Plantation, FL

Active since April 24, 2023PECOS Enrolled
600 S PINE ISLAND RD, PLANTATION, FL 33324(305) 355-6060 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ilya Pavlov Do NPPES

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

MR. ILYA PAVLOV DO (NPI 1366139800) is an individual student in an organized health care education/training program in Plantation, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366139800
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ILYA PAVLOVCredential: DO
Location Address600 S PINE ISLAND RDPlantation, FL 33324-3166
Mailing Address135 N Oak StHinsdale, IL 60521-3860 · (708) 245-8948
Phone(305) 355-6060
Sole ProprietorYes
Enumeration DateApril 24, 2023
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1366139800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS22968 (FL)
600 S PINE ISLAND RD, Plantation, FL 33324
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ilya Pavlov Do 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.

REHABCLINICS PTA, INC.
Clinic/Center (Physical Therapy)
600 S PINE ISLAND RD, SUITE 103
PLANTATION, FL 33324
Broward County (954) 474-2525
DR. MARISEL MEDINA D.P.M.
Podiatrist (Foot & Ankle Surgery)
600 S PINE ISLAND RD, # 300
PLANTATION, FL 33324
Broward County (954) 473-6344
LINDA OKEEFE
Physical Therapist
600 S PINE ISLAND RD, SUITE 200
PLANTATION, FL 33324
Broward County (954) 474-2525
MARCELLO TORRES P.T.
Physical Therapist
600 S PINE ISLAND RD, S300
PLANTATION, FL 33324
Broward County (954) 473-6344
MARIA L GIRON P.T.
Physical Therapist (Orthopedic)
600 S PINE ISLAND RD
PLANTATION, FL 33324
Broward County (954) 473-9779
B&R DENTAL FLORIDA CORPORATION
Dentist
600 S PINE ISLAND RD, SUITE 201
PLANTATION, FL 33324
Broward County (954) 812-9919
TAL SHIMONI
Physical Therapist
600 S PINE ISLAND RD, SUITE 200
PLANTATION, FL 33324
Broward County (954) 473-6344
DR. DAVID A BLUM M.D.
Orthopaedic Surgery (Hand Surgery)
600 S PINE ISLAND RD, SUITE 300
PLANTATION, FL 33324
Broward County (954) 473-6344

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 Pavlov's NPI number?

The NPI number for Ilya Pavlov is 1366139800. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Ilya Pavlov located?

Ilya Pavlov practices at 600 S Pine Island Rd, Plantation, FL 33324. The listed phone number is (305) 355-6060.

What is Ilya Pavlov'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 Pavlov enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ilya Pavlov was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.