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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ILYA YEGUDKIN DO
NPI 1750066593
Internal Medicine in West Hollywood, CA

Active since June 20, 2023PECOS Enrolled
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 786-7204 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 19, 2026, Nov 21, 2025, Jun 20, 2023 (3 updates tracked since 2023).

About Dr. Ilya Yegudkin Do NPPES

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

DR. ILYA YEGUDKIN DO (NPI 1750066593) is an individual internal medicine provider in West Hollywood, California, licensed in California (20A24875) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2023).

NPPES Registry Identity

NPI1750066593
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ILYA YEGUDKINCredential: DO
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address9663 Santa Monica Blvd Ste 883Beverly Hills, CA 90210-4303 · (310) 786-7204
Phone(310) 786-7204
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2023
Enumeration DateJune 20, 2023
Last NPPES UpdateSeptember 19, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2026
✔ NPI 1750066593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A24875
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License DO3957 (NV)
8700 BEVERLY BLVD, West Hollywood, CA 90048
Open in Google Maps ↗

Secondary Practice Location 1

Location 1620 Shadow LnLas Vegas, NV 89106-4194 · Phone (702) 388-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilya Yegudkin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678929452
PECOS Enrollment IDI20260129001868
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 90048 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

DR. BERNICE LOUISE COLEMAN PH.D, ACNP-BC
Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6178
DR. INGRID LEAH DOMBROWER M.D.
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-2871
ELAINE WITTERT MSW
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3119
DR. KENAN MOHAMMED NADAR D.O.
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-4451
HAE YOON GRACE CHOUNG MD
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6623
CASEY DISTASO MD
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-8780
CHIARA CASAS NP
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3277
AUSTIN WU MD
Anesthesiology
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5841

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 Yegudkin's NPI number?

The NPI number for Ilya Yegudkin is 1750066593. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Ilya Yegudkin located?

Ilya Yegudkin practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 786-7204.

What is Ilya Yegudkin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ilya Yegudkin enrolled in Medicare?

Yes. Ilya Yegudkin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilya Yegudkin was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.