Rafael Yakutilov (NPI# 1003811720, PAC ID# 2163404245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1003811720 |
| PAC ID by PECOS | 2163404245 |
| Professional Enrollment ID | I20040602001429 |
| Full Name | Rafael Yakutilov |
| Address |
15 Beach 105th St Rockaway Park NY 11694-2640 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330055 | NEW YORK-PRESBYTERIAN/QUEENS |
| 330214 | NEW YORK UNIVERSITY LANGONE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5645 Main St, Flushing, NY 11355-5045 | 7186702000 | NEW YORK QUEENS MEDICINE AND SURGERY, P.C. |
| 15 Beach 105th St, Rockaway Park, NY 11694-2640 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
15 BEACH 105TH ST |
| City | ROCKAWAY PARK |
| State | NY |
| Zip | 11694-2640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheldon W Miller | Podiatry | 15 Beach 105th St, Rockaway Park, NY 11694-2640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Guy | Gastroenterology | 14404 Rockaway Beach Blvd, Neponsit, NY 11694-1141 | |
| Victoria M Filippi Backus | Nurse Practitioner | St John's Medical Services PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Melinda A Anamdi | Physician Assistant | Harshit M. Patel Physician, Md, PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Walter W Valesky Jr. | Emergency Medicine | University Physicians of Brooklyn, Inc. | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Louis Jared Siegel | Dermatology | St John's Medical Services PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Daniel Jonathan Greenwald | Psychologist, Clinical | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| Catherine Connolly | Psychologist, Clinical | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| John A Jarbath | Podiatry | 209 Beach 125th St, Belle Harbor, NY 11694-1703 | |
| Marcia Ramos | Clinical Social Worker | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| David H Goldstein | Psychologist, Clinical | Psychological Health Services PC | 209 Beach 125th St, Belle Harbor, NY 11694-1703 |
| Find all physicians in zip 11694 | |||
| City | ROCKAWAY PARK |
| Zip Code | 11694 |
| Specialty | NEUROLOGY |
| City + Specialty | ROCKAWAY PARK + NEUROLOGY |
Please comment or provide details below to improve the information on Rafael Yakutilov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.