Ilirjan Gjonbalaj
NPI 1699272658 · Psychiatry Physician · New York, NY
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilirjan Gjonbalaj is a Psychiatry Physician provider in New York, NY (NPI 1699272658).
Provider details
- NPI number
- 1699272658
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
23 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 23 | $86 |
Typical Medicare-allowed amounts for these services range $86–$86 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 111 E 210th StBronx, NY 10467-2401Phone: (718) 920-4295
Registry dates
- Enumerated
- 2018-04-06
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Ilirjan Gjonbalaj's NPI number?
- Ilirjan Gjonbalaj's National Provider Identifier (NPI) is 1699272658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilirjan Gjonbalaj's specialty?
- Ilirjan Gjonbalaj is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Ilirjan Gjonbalaj located?
- Ilirjan Gjonbalaj's practice location on file with NPPES is 550 1st Ave, New York, NY 10016-6402.
- What is Ilirjan Gjonbalaj's phone number?
- The practice phone number listed in the NPPES registry for Ilirjan Gjonbalaj is (212) 686-7500.
- Does Ilirjan Gjonbalaj accept Medicare?
- Ilirjan Gjonbalaj is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ilirjan Gjonbalaj's NPI active?
- Yes — Ilirjan Gjonbalaj's NPI (1699272658) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.