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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1770903593

Ilya Igolnikov, MD is a Physical Medicine and Rehabilitation in Boulder, Colorado. Qualified in 2013, 13 years ago. Practices with Bouldercentre for Orthopedics PC, a 56-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2014
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

4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Phone: (303) 449-2730
Fax: (303) 449-5821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD458726 (PA)

Record details

NPI number1770903593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2014
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bouldercentre For Orthopedics Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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