NIKOL ILYASOV PA-C
NPI 1386367142
Physician Assistant in Greenvale, NY

NPI Status: Active since September 26, 2022

Contact Information

2200 NORTHERN BLVD
GREENVALE, NY
ZIP 11548
Phone: (877) 896-9301

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  • Individual
  • Female
  • Years of Experience 5
  • Physician Assistant
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About NIKOL ILYASOV

This page provides the complete NPI Profile along with additional information for Nikol Ilyasov, a primary care provider established in Greenvale, New York with a medical specialization in Physician Assistant and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1386367142 assigned on September 2022. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1386367142
Provider Name
NIKOL ILYASOV PA-C
Gender
Female
Entity Type
Individual
Location Address
2200 NORTHERN BLVD GREENVALE, NY 11548
Location Phone
(877) 896-9301
Mailing Address
2200 NORTHERN BOULVARD SUITE 150 GREENVALE, NY 11548
Mailing Phone
(877) 896-9301
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
09-26-2022
Last Update Date
06-12-2023
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A primary care provider (PCP) like Nikol Ilyasov sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Medicare Participation & PECOS Enrollment Status

Nikol Ilyasov is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Nikol Ilyasov is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6901277862

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230201000835

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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, 20-29 minutes

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 21 times for 21 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 136 times for 135 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 132 times for 132 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 146 times for 144 patients

Physician Visit Costs

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 11548 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $83.44
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $20.86
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nikol Ilyasov is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LONG ISLAND JEWISH MEDICAL CENTER270 - 05 76TH AVENUE
NEW HYDE PARK, NY 11040
(718) 470-7000Acute Care Hospitals

Reviews for NIKOL ILYASOV PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386367142
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166661418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 6 + 6 + 1 + 4 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1386367142 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750359444DR. JOHN A. VENDITTO M.D.,MBA,F.A.C.C.
Individual
Internal Medicine (Interventional Cardiology)2200 NORTHERN BLVD SUITE 132
GREENVALE, NY 11548
(516) 626-0700
1871649772DR. WEI HUANG-PARISE DDS
Individual
Dentist2200 NORTHERN BLVD SUITE 107
GREENVALE, NY 11548
(516) 621-6100
1134266877JOHN A VENDITTO MD PC
Organization
Internal Medicine (Interventional Cardiology)2200 NORTHERN BLVD SUITE 132
GREENVALE, NY 11548
(516) 626-0700
1013314640EAST HILLS DENTISTRY, PLLC
Organization
Dentist (General Practice)2200 NORTHERN BLVD SUITE 107
GREENVALE, NY 11548
(516) 621-6100
1215326970ST. FRANCIS DIAGNOSTIC
Organization
Radiology (Diagnostic Radiology)2200 NORTHERN BLVD
GREENVALE, NY 11548
(631) 465-6225
1952531931DR. NICOLE M PTAK-YENCHMAN D.D.S
Individual
Dentist2200 NORTHERN BLVD SUITE 107
GREENVALE, NY 11548
(516) 621-6100
1073985321ST. FRANCIS HOSPITAL
Organization
Pharmacy (Institutional Pharmacy)2200 NORTHERN BLVD SUITE 100A
GREENVALE, NY 11548
(516) 563-7710
1114267929JEFFREY FARKAS MD LLC
Organization
Radiology (Vascular & Interventional Radiology)2200 NORTHERN BLVD SUITE 207
EAST HILLS, NY 11548
(516) 466-1029
1134415961DR. KIRAN V REDDY M.D.
Individual
Internal Medicine (Interventional Cardiology)2200 NORTHERN BLVD SUITE 112
GREENVALE, NY 11548
(516) 484-6777
1811432982 ANN WAY
Individual
Nurse Practitioner (Adult Health)2200 NORTHERN BLVD THE CANCER INSTITUTE
GREENVALE, NY 11548
(516) 325-7513
1508806712DR. JAVIER MORALES M.D.
Individual
Internal Medicine2200 NORTHERN BLVD SUITE 133
GREENVALE, NY 11548
(516) 352-8100
1639119621DR. CRAIG R GROBMAN D.O.
Individual
Internal Medicine2200 NORTHERN BLVD SUITE 133
GREENVALE, NY 11548
(516) 352-8100
1225078314DR. LEON E SCHWECHTER D.O.
Individual
Internal Medicine2200 NORTHERN BLVD SUITE 133
GREENVALE, NY 11548
(516) 352-8100
1164624334 WALLACE PETER CHAN M.D.
Individual
Internal Medicine (Hematology & Oncology)2200 NORTHERN BLVD SUITE 111
GREENVALE, NY 11548
(516) 325-7500
1154848026MRS. KERI LYNN MESSINA ANP
Individual
Nurse Practitioner (Adult Health)2200 NORTHERN BLVD
GREENVALE, NY 11548
(516) 562-6000
1942709043 HILARY ANNE GREENBLATT NP
Individual
Nurse Practitioner (Primary Care)2200 NORTHERN BLVD
GREENVALE, NY 11548
(516) 562-6000
1972018166 KAITLYN MARY FRENCH
Individual
Nurse Practitioner (Adult Health)2200 NORTHERN BLVD
GREENVALE, NY 11548
(516) 562-6282
1619442381 JILLIAN DANZI NP
Individual
Nurse Practitioner (Family)2200 NORTHERN BLVD
GREENVALE, NY 11548
(516) 562-6282
1346705043MS. CHRISTINE PERSAUD NP
Individual
Nurse Practitioner (Adult Health)2200 NORTHERN BLVD
GREENVALE, NY 11548
(516) 563-7156
1124497771CHS PHYSICIAN PARTNERS, PC
Organization
Anesthesiology (Pain Medicine)2200 NORTHERN BLVD
GREENVALE, NY 11548
(631) 465-6225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386367142, enumerated in the NPI registry as an "individual" on September 26, 2022

The provider is located at 2200 Northern Blvd Greenvale, Ny 11548 and the phone number is (877) 896-9301

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 5 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $83.44 and an average copayment of 20.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Insertion of needle into vein for collection of blood sample, New patient office or other outpatient visit, 30-44 minutes and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.

The practitioner is affiliated to the following hospital(s): LONG ISLAND JEWISH MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 26, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.