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

Dr. Rafael Yakutilov, MD

Individual provider Neurology Physician · NPI 1003811720

Dr. Rafael Yakutilov, MD is a Neurology in Rockaway Park, New York. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Beach 105th St
Rockaway Park, NY 11694-2640
Phone: (718) 474-0023
Fax: (718) 474-2033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 229375 (NY)

Record details

NPI number1003811720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJanuary 30, 2009
Mailing address15 Beach 105th St, Rockaway Park, NY 11694-2640

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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