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DR. ILYA FONAROV D.O.
NPI 1679584098
Hospitalist in Miramar, FL

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
12955 SW 43RD CT, MIRAMAR, FL 33027(305) 829-1494 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ilya Fonarov D.o. NPPES

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

DR. ILYA FONAROV D.O. (NPI 1679584098) is an individual hospitalist provider in Miramar, Florida, licensed in Florida (OS9021) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1679584098
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ILYA FONAROVCredential: D.O.
Location Address12955 SW 43RD CTMiramar, FL 33027-3182
Mailing Address12955 Sw 43rd CtMiramar, FL 33027-3182 · (305) 829-1494
Phone(305) 829-1494
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1679584098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · OS9021
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS 9021 (FL)
12955 SW 43RD CT, Miramar, FL 33027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

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. Ilya Fonarov D.o. 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 ID4183727282
PECOS Enrollment IDI20070525000479
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

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.

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.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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 Fonarov's NPI number?

The NPI number for Ilya Fonarov is 1679584098. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Ilya Fonarov located?

Ilya Fonarov practices at 12955 SW 43rd Ct, Miramar, FL 33027. The listed phone number is (305) 829-1494.

What is Ilya Fonarov's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ilya Fonarov enrolled in Medicare?

Yes. Ilya Fonarov 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.

What insurance does Ilya Fonarov accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ilya Fonarov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ilya Fonarov affiliated with any hospitals?

According to CMS data, Ilya Fonarov is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Ilya Fonarov was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.