DR. KAMILLA ISMAILOFF MD
NPI 1992034961
Internal Medicine in South Richmond Hill, NY

Active since December 21, 2009PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2327856 · Waiver
11014 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 323-6588(929) 380-6020 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Nov 16, 2017 (2 updates tracked since 2017).

About Dr. Kamilla Ismailoff Md NPPES

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

DR. KAMILLA ISMAILOFF MD (NPI 1992034961) is an individual internal medicine provider in South Richmond Hill, New York, licensed in New York (263577) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 29, 2027, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1992034961
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAMILLA ISMAILOFFCredential: MD
Location Address11014 LIBERTY AVESouth Richmond Hill, NY 11419-1706
Mailing Address6910 108th St Apt 9eForest Hills, NY 11375-3814 · (718) 323-6588 · Fax (929) 380-6020
Fax(929) 380-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 21, 2009
Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1992034961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 263577
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.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 263577 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 263577 (NY)
11014 LIBERTY AVE, South Richmond Hill, NY 11419

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kamilla Ismailoff Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911030879
PECOS Enrollment IDI20120724000057
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.

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 33D2327856

Kamilla Ismailoff MD PC · South Richmond Hill, NY
Active · expires Jul 29, 2027
CLIA Number33D2327856
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorKamilla Ismailoff
Laboratory Phone(718) 323-6588
Laboratory LocationKamilla Ismailoff MD PC110-14 Liberty Avenue 1st Fl, South Richmond Hill, NY 11419
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 51 times for 23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 41 times for 22 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 74 times for 32 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $38.28 for a new patient copayment and $29.24 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11419 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $153.13
  • Minimum New Patient Price $67
  • Maximum New Patient Price $201.98
  • Average New Patient Copayment $38.28
  • Minimum New Patient Copayment $16.75
  • Maximum New Patient Copayment $50.49

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $116.96
  • Minimum Established Patient Price $21.62
  • Maximum Established Patient Price $163.52
  • Average Established Patient Copayment $29.24
  • Minimum Established Patient Copayment $5.4
  • Maximum Established Patient Copayment $40.88

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992034961, enumerated as an "individual" on December 21, 2009.

The provider is located at 11014 LIBERTY AVE SOUTH RICHMOND HILL, NY 11419 and the phone number is (718) 323-6588.

Internal Medicine with taxonomy code 207R00000X.