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DR. ILANA SHIMUNOV DDS, MPH
NPI 1760903645
Dentist in Flushing, NY

Active since June 30, 2017PECOS Enrolled
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2021, Jun 30, 2017 (2 updates tracked since 2017).

About Dr. Ilana Shimunov Dds, Mph NPPES

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

DR. ILANA SHIMUNOV DDS, MPH (NPI 1760903645) is an individual dentist in Flushing, New York, licensed in New York (060193) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760903645
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ILANA SHIMUNOVCredential: DDS, MPH
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address56-45 Main StreetFlushing, NY 11355-5037
Phone(718) 670-2000
Sole ProprietorNo
Enumeration DateJune 30, 2017
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1760903645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 060193
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5645 MAIN ST, Flushing, NY 11355
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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)

Dr. Ilana Shimunov Dds, Mph 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 Reassignment

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

New York City Health And Hospitals Corporation
2.3 mi
General Acute Care Hospital
82-68 164TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1801803903 (718) 883-2929

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 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Internal Medicine (Infectious Disease)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Ilana Shimunov's NPI number?

The NPI number for Ilana Shimunov is 1760903645. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Ilana Shimunov located?

Ilana Shimunov practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Ilana Shimunov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ilana Shimunov enrolled in Medicare?

Yes. Ilana Shimunov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ilana Shimunov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilana Shimunov reassigns Medicare benefits to New York City Health And Hospitals Corporation (Jamaica, NY). 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 Ilana Shimunov'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 Ilana Shimunov was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.