IRADA AVSHALUMOV N.P..
NPI 1700253929
Nurse Practitioner - Family in Brooklyn, NY

Q: What is Irada Avshalumov's NPI number?

The NPI number for Irada Avshalumov is 1700253929. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Q: What is Irada Avshalumov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Irada Avshalumov was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 24, 2015PECOS Enrolled

4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Irada Avshalumov N.p.. NPPES

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

IRADA AVSHALUMOV N.P.. (NPI 1700253929) is an individual family provider in Brooklyn, New York, licensed in New York (F338935-1) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700253929

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIRADA AVSHALUMOVCredential: N.P..

Location Address4802 10TH AVEBrooklyn, NY 11219-2916

Mailing Address2223 85th St Fl 2Brooklyn, NY 11214-3305 · (718) 610-9312

Phone(718) 283-6000

Sole ProprietorNo

Enumeration DateAugust 24, 2015

✔ NPI 1700253929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F338935-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 545151-1 (NY)

4802 10TH AVE, Brooklyn, NY 11219

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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 (PECOS)

Irada Avshalumov 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.

Medicare Billing Reassignments

Medicare enrollment records show Irada Avshalumov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Medical Center - Mmc Emergency Physicians Fpp

Same address

Emergency Medicine

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
189 clinicians in this Medicare group

NPI 1982708202 (718) 283-8773

Hp Medical Care PC

10 mi

Urgent Care

11620 QUEENS BLVD, STE. B
Forest Hills, NY 11375

Reassigned Medicare billing, New York enrollment
15 clinicians in this Medicare group

NPI 1356731202 (718) 401-1510

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

Areas of Expertise CMS Part B claims 5

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.

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.

182 services151 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.

52 services52 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services13 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

11 services11 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) 90715

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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.

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.

CARLOS BUZZETTA

Legal Medicine

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8961

LOBELYS A ANICET PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-5660

CHIAMAKA MEREMETOH MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

JESSE M. GALINA

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

DR. ABANOUB ALFY NAKHLA MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

CHRISTINE LI MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

MS. KATRINA W SOWERBY FNP

Nurse Practitioner (Family)

4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219

Kings County (718) 283-7300

MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP

Internal Medicine (Infectious Disease)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8773

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 Irada Avshalumov's NPI number?

The NPI number for Irada Avshalumov is 1700253929. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Irada Avshalumov located?

Irada Avshalumov practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Irada Avshalumov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Irada Avshalumov enrolled in Medicare?

Yes. Irada Avshalumov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Irada Avshalumov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irada Avshalumov reassigns Medicare benefits to 2 organizations: Maimonides Medical Center - Mmc Emergency Physicians Fpp (Brooklyn, NY) and Hp Medical Care PC (Forest Hills, 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 Irada Avshalumov'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 Irada Avshalumov was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.