DR. ILYA PEREPELITSYN MD
NPI 1992795058
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Minneapolis, MN
About Dr. Ilya Perepelitsyn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ILYA PEREPELITSYN MD (NPI 1992795058) is an individual otolaryngology/facial plastic surgery provider in Minneapolis, Minnesota, licensed in Minnesota (49351) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Tufts University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ilya Perepelitsyn 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.
Medicare Billing Reassignment
Medicare enrollment records show Ilya Perepelitsyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNM Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNMercy Hospital
Acute Care Hospitals · Coon Rapids, MNMaple Grove Hospital
Acute Care Hospitals · Maple Grove, MNMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55404
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 Ilya Perepelitsyn's NPI number?
The NPI number for Ilya Perepelitsyn is 1992795058. It was assigned to this individual provider in the NPPES registry on October 28, 2005.
Where is Ilya Perepelitsyn located?
Ilya Perepelitsyn practices at 2211 Park Ave, Minneapolis, MN 55404. The listed phone number is (612) 871-1144.
What is Ilya Perepelitsyn's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Ilya Perepelitsyn enrolled in Medicare?
Yes. Ilya Perepelitsyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ilya Perepelitsyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilya Perepelitsyn reassigns Medicare benefits to Ear Nose & Throat Specialty Care Of Minnesota PA (St Louis Park, MN). 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 Ilya Perepelitsyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ilya Perepelitsyn accept?
Health plans from HealthPartners list Ilya Perepelitsyn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ilya Perepelitsyn affiliated with any hospitals?
According to CMS data, Ilya Perepelitsyn is affiliated with Abbott Northwestern Hospital, M Health Fairview Southdale Hospital, Mercy Hospital and Maple Grove Hospital.
When was this NPI record last updated?
The NPPES record for Ilya Perepelitsyn was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Ilya Perepelitsyn, MD · NPI 1992795058
Otolaryngology/Facial Plastic Surgery physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since October 28, 2005.
## Identity
- **NPI:** 1992795058 (Entity type: Individual)
- **Enumerated:** October 28, 2005
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **State license:** 49351 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2211 PARK AVE, Minneapolis, MN 55404-3711
- **Phone:** (612) 871-1144 · **Fax:** (612) 871-2012
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ear Nose & Throat Specialty Care Of Minnesota PA (NPI 1336175744, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** June 13, 2013
- **Other identifiers:** Medicare PIN 040000839 (MN); Medicare UPIN I09304; Other J27270 (MA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992795058) · Data from the CMS NPPES public registry.