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ILIRJANA DUKA D.O.
NPI 1720436322
Internal Medicine - Rheumatology in Staten Island, NY

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ilirjana Duka D.o. NPPES

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

ILIRJANA DUKA D.O. (NPI 1720436322) is an individual rheumatology provider in Staten Island, New York, licensed in New York (316544) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720436322
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameILIRJANA DUKACredential: D.O.
Location Address355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOORStaten Island, NY 10310-1664
Mailing Address355 Bard Ave, Department Of Medicine Villa Bldg 1st FloorStaten Island, NY 10310-1664
Phone(718) 818-2419
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 25, 2016
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1720436322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 316544
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
355 BARD AVE, Staten Island, NY 10310
Open in Google Maps ↗

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

Ilirjana Duka 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 ID2466797097
PECOS Enrollment IDI20231113001961
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 Reassignment

Medicare enrollment records show Ilirjana Duka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,029 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,320 services13 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.
167 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
146 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 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.
47 services36 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services14 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10310 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

MRS. DONNA MARIE LUTZ MSCCC-A
Audiologist-Hearing Aid Fitter
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2250
ALL ISLAND PHYSICIAN PRACTICE PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-3327
SAINT VINCENT CATHOLIC MEDICAL CENTER
Psychiatric Unit
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
LISA MAHER PA
Physician Assistant
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310
Richmond County (718) 818-1117
MRS. ANNA MENZA FNP
Nurse Practitioner (Family)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
CAROLINE MEURER DA CUNHA
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
ALLEN CHO
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
EDWARD ADRIAN M.D.
Emergency Medicine
355 BARD AVE, EMERGENCY DEPT
STATEN ISLAND, NY 10310
Richmond County (718) 818-2055

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 Ilirjana Duka's NPI number?

The NPI number for Ilirjana Duka is 1720436322. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Ilirjana Duka located?

Ilirjana Duka practices at 355 Bard Ave Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Ilirjana Duka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ilirjana Duka enrolled in Medicare?

Yes. Ilirjana Duka 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 organization bills Medicare for Ilirjana Duka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilirjana Duka reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Ilirjana Duka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ilirjana Duka affiliated with any hospitals?

According to CMS data, Ilirjana Duka is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Ilirjana Duka was last updated on December 19, 2023. 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.