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IRINA ILYASOV RPA-C
NPI 1881920502
Physician Assistant - Medical in Brooklyn, NY

Active since October 30, 2009PECOS Enrolled
8686 BAY PKWY, STE M4, BROOKLYN, NY 11214(718) 265-7700(718) 265-7701 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irina Ilyasov Rpa-c NPPES

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

IRINA ILYASOV RPA-C (NPI 1881920502) is an individual medical provider in Brooklyn, New York, licensed in New York (013442) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881920502
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameIRINA ILYASOVCredential: RPA-C
Location Address8686 BAY PKWY, STE M4Brooklyn, NY 11214-5103
Mailing Address62 Keune CtStaten Island, NY 10304-1431 · (718) 265-7700 · Fax (718) 265-7701
Phone(718) 265-7700
Fax(718) 265-7701
Sole ProprietorYes
Enumeration DateOctober 30, 2009
✔ NPI 1881920502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 013442
8686 BAY PKWY, Brooklyn, NY 11214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irina Ilyasov Rpa-c 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREATER NY NEUROLOGY PC
Psychiatry & Neurology (Neurology)
8686 BAY PKWY, SUITE 1M-2M
BROOKLYN, NY 11214
Kings County (718) 544-4200
21ST CENTURY RADIOLOGY AND IMAGING, PC
Radiology (Diagnostic Radiology)
8686 BAY PKWY, SUITE M3
BROOKLYN, NY 11214
Kings County (718) 333-0022
TAMMY OUNG DDS
Dentist (General Practice)
8686 BAY PKWY
BROOKLYN, NY 11214
Kings County (718) 714-7000
BOGDAN PAIN MANAGEMENT SERVICES P.C.
Clinic/Center (Ambulatory Surgical)
8686 BAY PKWY, SUITE M4
BROOKLYN, NY 11214
Kings County (718) 266-7700
BODY
Physical Therapist (Orthopedic)
8686 BAY PKWY
BROOKLYN, NY 11214
Kings County (347) 605-7946

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 Irina Ilyasov's NPI number?

The NPI number for Irina Ilyasov is 1881920502. It was assigned to this individual provider in the NPPES registry on October 30, 2009.

Where is Irina Ilyasov located?

Irina Ilyasov practices at 8686 Bay Pkwy Ste M4, Brooklyn, NY 11214. The listed phone number is (718) 265-7700.

What is Irina Ilyasov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Irina Ilyasov enrolled in Medicare?

Yes. Irina Ilyasov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irina Ilyasov was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.