Ilya Badalov, MD
NPI 1679543888 · Gastroenterology Physician · Flushing, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilya Badalov, MD is a Gastroenterology Physician provider in Flushing, NY (NPI 1679543888).
Provider details
- NPI number
- 1679543888
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 214438 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
191 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 71 | $143 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 48 | $183 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 25 | $18 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 24 | $150 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 12 | $209 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 188 | 51 |
| Pantoprazole Sodium | 80 | 17 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 52 | 52 |
| Famotidine | 47 | — |
| Mesalamine | 18 | — |
| Sucralfate | 16 | — |
| Ciprofloxacin Hcl | 13 | — |
| Linaclotide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,292 across 60 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 8615 Queens BlvdElmhurst, NY 11373-4427Phone: (718) 899-6600Fax: (718) 803-5155
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2019-09-09
Frequently asked questions
- What is Ilya Badalov's NPI number?
- Ilya Badalov's National Provider Identifier (NPI) is 1679543888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilya Badalov's specialty?
- Ilya Badalov is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ilya Badalov located?
- Ilya Badalov's practice location on file with NPPES is 14015 Sanford Ave, Flushing, NY 11355-2686.
- What is Ilya Badalov's phone number?
- The practice phone number listed in the NPPES registry for Ilya Badalov is (718) 670-6400.
- Does Ilya Badalov accept Medicare?
- Ilya Badalov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ilya Badalov's NPI active?
- Yes — Ilya Badalov's NPI (1679543888) is active in the NPPES registry as of the last update on 2019-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.