Look up the most recent NPI and PECOS records

Rudolf Akilov

Dentist

Dental Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Rudolf Akilov is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1649316720
Provider Type
Individual
Full Name
Akilov, Rudolf
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/29/2007
Last Updated
7/9/2007

Contact Information

Practice Location

645 W 207th St, New York, NY 10034-2654

(212) 304-1666

Unlisted Fax

Mailing Location

645 W 207th St, New York, NY 10034-2654

(212) 304-1666

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 047215 New York

Provider Identifiers

ID	Description	Issuer
ID 01911595	Description Medicaid	Issuer Unlisted New York

Rudolf Akilov

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Evydent Dentistry Pc

Bernstein, Eric G

Family Dental Pc

Ulerio-Bonilla, Isabel

Palange, Paul A

Acosta, Carlos