Individual provider Active NPI

Ana M Ghelechkhani, PA

  • Medical Physician Assistant
  • Flushing, NY
National Provider Identifier
1003050782
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012181-1 Issued in NY
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-2608
Fax
(516) 437-4167
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012181-1 NY Primary

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

210 Old Country Rd
Mineola, NY 11501-4218
Phone (516) 279-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, MD, PA, VA, IL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20090610000636 NY Practitioner - Physician Assistant 7911057070 Reassigns benefits to 4 organizations
I20200708000011 DC Practitioner - Physician Assistant 7911057070 Reassigns benefits to 5 organizations
I20200708000019 MD Practitioner - Physician Assistant 7911057070 Reassigns benefits to 4 organizations
I20250801000629 PA Practitioner - Physician Assistant 7911057070 Reassigns benefits to 1 organization
I20250811001696 VA Practitioner - Physician Assistant 7911057070 Reassigns benefits to 1 organization
I20250820002678 IL Practitioner - Physician Assistant 7911057070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
Mep Observation Services LLCGroup PAC ID 2365611845, 42 clinicians
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

1 Price Dr
Elkton, MD 21921-6731
Phone (410) 398-6474

100 9TH St
McKeesport, PA 15132-3952
Phone (412) 675-8600

109 Forest Valley Dr
Forest Hill, MD 21050-2831
Phone (410) 838-0101

11150 Resort Rd
Ellicott City, MD 21042-2050
Phone (410) 461-7070

11239 Berry Rd
Waldorf, MD 20603-6048
Phone (301) 818-6900

2741 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 344-6121

2751 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 468-8410

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042
Phone (301) 884-8171

310 Genesis Way
Severna Park, MD 21146-1762
Phone (410) 544-4220

3349 Wilmington Rd
New Castle, PA 16105-1038
Phone (724) 598-3300

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7550

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • St Camillus Residential Health Care Facility Nursing home, Syracuse, NY, CCN 335283
  • Friendship Health and Rehab Center - South Nursing home, Roanoke, VA, CCN 495421
  • Carroll Lutheran Village Nursing home, Westminster, MD, CCN 215133
  • Richfield Health Center - Salem Nursing home, Salem, VA, CCN 495013
  • Edenbrook of Greenwood Hill Nursing home, Pottsville, PA, CCN 395344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012181NYMDMental Health Counselor
012181-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 11, 2018 Accepting new patients
210 Mineola Medical PC PastSince Nov 26, 2018 Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Interoperability endpoints

  • Direct secure messaging: aghelechkhani1251058@direct.hopkinsmedicine.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1003050782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014218",
            "telephone_number": "516-279-4400",
            "fax_number": "516-279-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-2608",
            "fax_number": "516-437-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHELECHKHANI",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.