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NIKOL ILYASOV PA-C
NPI 1386367142
Physician Assistant in Greenvale, NY

Active since September 26, 2022PECOS Enrolled
2200 NORTHERN BLVD, GREENVALE, NY 11548(877) 896-9301 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Sep 26, 2022 (2 updates tracked since 2022).

About Nikol Ilyasov Pa-c NPPES

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

NIKOL ILYASOV PA-C (NPI 1386367142) is an individual physician assistant in Greenvale, New York and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386367142
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIKOL ILYASOVCredential: PA-C
Location Address2200 NORTHERN BLVDGreenvale, NY 11548-1219
Mailing Address2200 Northern Boulvard, Suite 150Greenvale, NY 11548 · (877) 896-9301
Phone(877) 896-9301
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 26, 2022
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1386367142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 NORTHERN BLVD, Greenvale, NY 11548
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikol Ilyasov Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901277862
PECOS Enrollment IDI20230201000835
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
910 services879 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
874 services848 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
803 services803 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.
122 services119 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
36 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11548 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

EAST HILLS DENTISTRY, PLLC
Dentist (General Practice)
2200 NORTHERN BLVD, SUITE 107
GREENVALE, NY 11548
Nassau County (516) 621-6100
ST. FRANCIS HOSPITAL
Pharmacy (Institutional Pharmacy)
2200 NORTHERN BLVD, SUITE 100A
GREENVALE, NY 11548
Nassau County (516) 563-7710
JEFFREY FARKAS MD LLC
Radiology (Vascular & Interventional Radiology)
2200 NORTHERN BLVD, SUITE 207
EAST HILLS, NY 11548
Nassau County (516) 466-1029
CHS PHYSICIAN PARTNERS, PC
Anesthesiology (Pain Medicine)
2200 NORTHERN BLVD
GREENVALE, NY 11548
Nassau County (631) 465-6225
JOHN A VENDITTO MD PC
Internal Medicine (Interventional Cardiology)
2200 NORTHERN BLVD, SUITE 132
GREENVALE, NY 11548
Nassau County (516) 626-0700
DR. KIRAN V REDDY M.D.
Internal Medicine (Interventional Cardiology)
2200 NORTHERN BLVD, SUITE 112
GREENVALE, NY 11548
Nassau County (516) 484-6777
MRS. KERI LYNN MESSINA ANP
Nurse Practitioner (Adult Health)
2200 NORTHERN BLVD
GREENVALE, NY 11548
Nassau County (516) 562-6000
WALLACE PETER CHAN M.D.
Internal Medicine (Hematology & Oncology)
2200 NORTHERN BLVD, SUITE 111
GREENVALE, NY 11548
Nassau County (516) 325-7500

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 Nikol Ilyasov's NPI number?

The NPI number for Nikol Ilyasov is 1386367142. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Nikol Ilyasov located?

Nikol Ilyasov practices at 2200 Northern Blvd, Greenvale, NY 11548. The listed phone number is (877) 896-9301.

What is Nikol Ilyasov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nikol Ilyasov enrolled in Medicare?

Yes. Nikol Ilyasov is registered in the Medicare PECOS enrollment system.

Is Nikol Ilyasov affiliated with any hospitals?

According to CMS data, Nikol Ilyasov is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Nikol Ilyasov was last updated on June 12, 2023. 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.