Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ilya Fonarov, DO

Individual provider Internal Medicine Physician · NPI 1679584098

Dr. Ilya Fonarov, DO is an Internal Medicine in Miramar, Florida. Qualified in 2002, 24 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 468-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12955 SW 43rd Ct
Miramar, FL 33027-3182
Phone: (305) 829-1494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence OS9021 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS 9021 (FL)

Record details

NPI number1679584098
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address12955 Sw 43rd Ct, Miramar, FL 33027-3182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 468 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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