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IZABELLA DYAKOVETSKY MD, LLC
NPI 1932360559
Clinic/Center in Southampton, PA

Active since June 17, 2008
201 LAKESIDE PARK, STE B, SOUTHAMPTON, PA 18966(215) 322-9020(215) 322-9040 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Izabella Dyakovetsky Md, Llc NPPES

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

IZABELLA DYAKOVETSKY MD, LLC (NPI 1932360559) is a healthcare organization registered as a clinic/center in Southampton, Pennsylvania and active in the NPI registry since June 2008. The organization lists Izabella Dyakovetsky, Presedent, as its authorized official.

NPPES Registry Identity

NPI1932360559
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIZABELLA DYAKOVETSKY MD, LLC
Location Address201 LAKESIDE PARK, STE BSouthampton, PA 18966-4049
Mailing Address201 Lakeside Park, Ste BSouthampton, PA 18966-4049 · (215) 322-9020 · Fax (215) 322-9040
Phone(215) 322-9020
Fax(215) 322-9040
Organization SubpartNo
Authorized OfficialIzabella DyakovetskyPresedent · (215) 322-9020
Enumeration DateJune 17, 2008
✔ NPI 1932360559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
201 LAKESIDE PARK, Southampton, PA 18966
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Izabella Dyakovetsky Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Izabella Dyakovetsky MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Izabella Dyakovetsky, M.D.
Psychiatry
NPI 1073512927
54 PROVIDENCE DR
Richboro, PA 18954
(215) 718-8036
✔ PECOS✔ Accepts Medicare4.1 mi

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

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 Izabella Dyakovetsky MD, LLC's NPI number?

The NPI number for Izabella Dyakovetsky MD, LLC is 1932360559. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is Izabella Dyakovetsky MD, LLC located?

Izabella Dyakovetsky MD, LLC is located at 201 Lakeside Park Ste B, Southampton, PA 18966. The listed phone number is (215) 322-9020.

What is Izabella Dyakovetsky MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Izabella Dyakovetsky MD, LLC enrolled in Medicare?

Yes. Izabella Dyakovetsky MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Izabella Dyakovetsky MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Izabella Dyakovetsky MD, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Izabella Dyakovetsky MD, LLC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.