Mark Ilyagu Medical PC
NPI 1619699915ActiveOrganization· Internal Medicine· Valley Stream, NY
Internal Medicine in Valley Stream, New York, registered in NPPES in September 2022. The authorized official on file is Mark Ilyagu, Md. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1619699915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2022 |
| Last updated in NPPES | Aug 25, 2026 |
| Certified by provider | Aug 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Internal Medicine providers in Valley Stream
- 1851532543
- 1306977111
- 1629304357
- 1225934953
- 1841157419
- 1063592707
- 1811228703
- 1588673552
- 1184764045
- 1912343229
- 1649661174
- 1114969276