FEDIR ILNITSKYY MD PC
NPI 1831618933
Internal Medicine in Brooklyn, NY

Active since September 11, 2017CLIA 33D2147026 · Waiver
421 OCEAN PARKWAY, SUITE 2A, BROOKLYN, NY 11218(718) 438-8585(718) 282-7475 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fedir Ilnitskyy Md Pc NPPES

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

FEDIR ILNITSKYY MD PC (NPI 1831618933) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Fedir Ilnitskyy, President, as its authorized official.

NPPES Registry Identity

NPI1831618933
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFEDIR ILNITSKYY MD PC
Location Address421 OCEAN PARKWAY, SUITE 2ABrooklyn, NY 11218
Mailing Address421 Ocean ParkwayBrooklyn, NY 11218 · (718) 438-8585 · Fax (718) 282-7475
Fax(718) 282-7475
Organization SubpartNo
Authorized OfficialFedir IlnitskyyPresident · (718) 438-8585
Enumeration DateSeptember 11, 2017
✔ NPI 1831618933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 262740
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.
421 OCEAN PARKWAY, Brooklyn, NY 11218

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fedir Ilnitskyy Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fedir Ilnitskyy MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1982780078
421 OCEAN PKWY 2ND FLOOR
Brooklyn, NY 11218
(718) 438-8585
✔ PECOSSame address
Internal Medicine
NPI 1225334519
421 OCEAN PKWY SUITE 2A
Brooklyn, NY 11218
(718) 438-8585
✔ PECOSSame address
Nurse Practitioner
NPI 1114695723
1111 AMSTERDAM AVE
New York, NY 10025
(212) 523-4000
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2147026

Fedir Ilnitskyy MD PC · Brooklyn, NY
Active · expires Apr 10, 2028
CLIA Number33D2147026
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Fedir Ilnitskyy
Laboratory Phone(718) 438-8585
Laboratory LocationFedir Ilnitskyy MD PC421 Ocean Pkwy - Ste 2A, Brooklyn, NY 11218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fedir Ilnitskyy MD PC's NPI number?

The NPI number for Fedir Ilnitskyy MD PC is 1831618933. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is Fedir Ilnitskyy MD PC located?

Fedir Ilnitskyy MD PC is located at 421 Ocean Parkway Suite 2A, Brooklyn, NY 11218. The listed phone number is (718) 438-8585.

What is Fedir Ilnitskyy MD PC's specialty?

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

Is Fedir Ilnitskyy MD PC enrolled in Medicare?

Yes. Fedir Ilnitskyy MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fedir Ilnitskyy MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fedir Ilnitskyy MD PC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fedir Ilnitskyy MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2147026) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fedir Ilnitskyy MD PC was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.