Individual provider Active NPI

Lola Borisovna Iskhakova, MD

  • Internal Medicine Physician
  • Ozone Park, NY
National Provider Identifier
1003157058
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
273766 Issued in NY
Practice address
9916 97TH St
Ozone Park, NY 11416-2509
Phone
(347) 420-3353
Fax
(718) 848-1660
NPI assigned
Mar 14, 2013
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 273766 NY Primary

Addresses

Primary practice location

9916 97TH St
Ozone Park, NY 11416-2509

Mailing address

9916 97TH St
Ozone Park, NY 11416-2509
Phone (718) 848-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312001177 NY Practitioner - Internal Medicine 0941526834 Reassigns benefits to 1 organization
Practice locations: Ozone Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9916 97TH St
Ozone Park, NY 11416-2509
Phone (718) 845-0099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1003157058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 97TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162509",
            "telephone_number": "718-848-1600",
            "fax_number": "718-848-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 97TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162509",
            "telephone_number": "347-420-3353",
            "fax_number": "718-848-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKHAKOVA",
        "first_name": "LOLA",
        "middle_name": "BORISOVNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "273766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.