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ILAN SEMANDOV DO
NPI 1669602520
Family Medicine in Brooklyn, NY

Active since July 24, 2009PECOS EnrolledAccepts Medicare Assignment
81 SKILLMAN ST, ST, BROOKLYN, NY 11205(718) 694-9000(718) 237-9305 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ilan Semandov Do NPPES

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

ILAN SEMANDOV DO (NPI 1669602520) is an individual family medicine provider in Brooklyn, New York, licensed in New York (251750) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2007).

NPPES Registry Identity

NPI1669602520
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameILAN SEMANDOVCredential: DO
Location Address81 SKILLMAN ST, STBrooklyn, NY 11205-2803
Mailing Address1844 E 24th StBrooklyn, NY 11229-2426 · (917) 238-7234 · Fax (718) 237-9305
Phone(718) 694-9000
Fax(718) 237-9305
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2007
Enumeration DateJuly 24, 2009
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1669602520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 251750
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.
81 SKILLMAN ST, Brooklyn, NY 11205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ilan Semandov Do 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 ID8022132356
PECOS Enrollment IDI20100824000284
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 Ilan Semandov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Avenue Pediatrics, P.C.
32 mi
Pediatrics
12 DEERWOOD RD
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Park Avenue Pediatrics PC
  • 87 clinicians in this Medicare group
NPI 1699969543 (845) 671-4000
Suffolk Primary Health, LLC
71 mi
Primary Care
170 OLD COUNTRY RD
Riverhead, NY 11901
  • Reassigned Medicare billing, New York enrollment
  • 57 clinicians in this Medicare group
NPI 1174965727 (631) 208-4460

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11205 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Ilan Semandov's NPI number?

The NPI number for Ilan Semandov is 1669602520. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Ilan Semandov located?

Ilan Semandov practices at 81 Skillman St St, Brooklyn, NY 11205. The listed phone number is (718) 694-9000.

What is Ilan Semandov's specialty?

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

Is Ilan Semandov enrolled in Medicare?

Yes. Ilan Semandov 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.

Which organizations bill Medicare for Ilan Semandov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilan Semandov reassigns Medicare benefits to 2 organizations: Park Avenue Pediatrics, P.C. (Spring Valley, NY) and Suffolk Primary Health, LLC (Riverhead, NY). 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 Ilan Semandov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ilan Semandov was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.