DR. ILYA YEGUDKIN DO
NPI 1750066593
Internal Medicine in West Hollywood, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ilya Yegudkin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ilya Yegudkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Nevada enrollment
- 206 clinicians in this Medicare group
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 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.
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.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
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.
Which organization bills Medicare for Ilya Yegudkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilya Yegudkin reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Ilya Yegudkin'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 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 32 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.
# Dr. Ilya Yegudkin, DO · NPI 1750066593
Internal Medicine physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1750066593 (Entity type: Individual)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 20A24875 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8700 BEVERLY BLVD, West Hollywood, CA 90048-1804
- **Phone:** (310) 786-7204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2023
## Record status
- **NPPES last updated:** September 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750066593) · Data from the CMS NPPES public registry.