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DR. ANDREY ALEXANDROVICH ILYASOV MD NPI 1972575587


NPI Information

NPI: 1972575587
Provider Name: DR. ANDREY ALEXANDROVICH ILYASOV, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
315 W 15TH ST
LIBERAL, KS
ZIP 67901
Phone: (620) 629-6477
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DR. Andrey Alexandrovich Ilyasov, MD is a hospitalist in Liberal, KS. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Andrey Alexandrovich Ilyasov, MD NPI is 1972575587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 W 15TH ST
LIBERAL, KS
ZIP 67901-455
Phone: (620) 629-6477
Fax: (620) 629-6651

The NPI 1972575587 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Injection of different drug or substance into a vein for therapy, diagnosis, or prevention (HCPCS:96375)
  • Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour (HCPCS:96367)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)

The enumeration date for this NPI number is 2/7/2006 and was last updated on 3/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine34051SOUTH CAROLINANo
2207R00000XInternal Medicine200501714NORTH CAROLINANo
3208M00000XHospitalist35106ALABAMANo
4208M00000XHospitalist04-37011KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I47039MEDICARE UPINNORTH CAROLINA
2110607018MEDICARE PINKANSAS
3200554510AMEDICAIDOKLAHOMA
4P00435714OTHERNORTH CAROLINARAILROAD MEDICARE
52049089MEDICARE PINNORTH CAROLINA
6201122270AMEDICAIDKANSAS
75902572MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.