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SUSANA IZRAILOVA N.P.
NPI 1619340668
Nurse Practitioner - Adult Health in Rego Park, NY

Active since November 12, 2015PECOS Enrolled
6304 ELLWELL CRES, REGO PARK, NY 11374(718) 896-0386(718) 830-4908 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susana Izrailova N.p. NPPES

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

SUSANA IZRAILOVA N.P. (NPI 1619340668) is an individual adult health provider in Rego Park, New York, licensed in New York (F305459-1) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619340668
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSANA IZRAILOVACredential: N.P.
Location Address6304 ELLWELL CRESRego Park, NY 11374-4829
Mailing Address6304 Ellwell CresRego Park, NY 11374-4829 · (718) 896-0386 · Fax (718) 830-4908
Phone(718) 896-0386
Fax(718) 830-4908
Sole ProprietorYes
Enumeration DateNovember 12, 2015
✔ NPI 1619340668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305459-1
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F340780-1 (NY)
6304 ELLWELL CRES, Rego Park, NY 11374
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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)

Susana Izrailova N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 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
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Susana Izrailova's NPI number?

The NPI number for Susana Izrailova is 1619340668. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Where is Susana Izrailova located?

Susana Izrailova practices at 6304 Ellwell Cres, Rego Park, NY 11374. The listed phone number is (718) 896-0386.

What is Susana Izrailova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susana Izrailova enrolled in Medicare?

Yes. Susana Izrailova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susana Izrailova was last updated on November 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.