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

Ilya Alishayev, DO

Individual provider Family Medicine Physician · NPI 1972824902

Ilya Alishayev, DO is a Family Practice in Charlotte, North Carolina. Qualified in 2010, 16 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2010
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

101 E Wt Harris Blvd Ste 5002
Charlotte, NC 28262-3485
Phone: (704) 801-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-9700
  • 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372 — (704) 667-2650
  • 705 Griffith St, Davidson, NC 28036-9304 — (704) 801-7350
  • 1585 Forney Creek Pkwy, Denver, NC 28037-9514 — (704) 801-7320

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2016-00823 (NC)

Record details

NPI number1972824902
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESSeptember 25, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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