ELONA ESTHER POLTIYELOVA DO
NPI 1760177117
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 10, 2023PECOS Enrolled
19829 N 27TH AVE, PHOENIX, AZ 85027(623) 683-1600 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Apr 10, 2023 (2 updates tracked since 2023).

About Elona Esther Poltiyelova Do NPPES

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

ELONA ESTHER POLTIYELOVA DO (NPI 1760177117) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1760177117
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELONA ESTHER POLTIYELOVACredential: DO
Location Address19829 N 27TH AVEPhoenix, AZ 85027-4001
Mailing Address7323 192nd StFresh Meadows, NY 11366-1857
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1760177117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19829 N 27TH AVE, Phoenix, AZ 85027

Secondary Practice Location 1

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elona Esther Poltiyelova Do 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.

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.

Hospitalist
19829 N 27TH AVE
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Hospitalist
19829 N 27TH AVE
PHOENIX, AZ 85027
Nurse Practitioner
19829 N 27TH AVE
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Emergency Medicine
19829 N 27TH AVE
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19829 N 27TH AVE
PHOENIX, AZ 85027
Internal Medicine
19829 N 27TH AVE
PHOENIX, AZ 85027

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 Elona Poltiyelova's NPI number?

The NPI number for Elona Poltiyelova is 1760177117. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Elona Poltiyelova located?

Elona Poltiyelova practices at 19829 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (623) 683-1600.

What is Elona Poltiyelova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elona Poltiyelova enrolled in Medicare?

Yes. Elona Poltiyelova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elona Poltiyelova was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.