NPIMap

Individual provider Active NPI

Lyudmila Dekhovich, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013445998
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
308324 Issued in NY
Practice address
8714 5TH Ave
Brooklyn, NY 11209-5204
Phone
(718) 630-8600
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 308324 NY Primary

Addresses

Primary practice location

8714 5TH Ave
Brooklyn, NY 11209-5204

Mailing address

755 Memorial Pkwy Ste 300
Phillipsburg, NJ 08865-2748
Phone (908) 847-3385

Other practice location 1

755 Memorial Pkwy Ste 300
Phillipsburg, NJ 08865-2748
Phone (908) 847-3385

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldekhovich433923@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000897 NY Practitioner - Family Practice 5799199568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

8714 5TH Ave
Brooklyn, NY 11209-5204
Phone (718) 630-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
New York University CurrentSince Mar 1, 2021 Accepting new patients
New York University CurrentSince Mar 1, 2021 Accepting new patients

Locations

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

231 S 3rd St
Brooklyn, NY 11211
Phone (718) 502-6969

2857 W 8th St
#200
Brooklyn, NY 11224

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: ldekhovich433923@nyumc.direct-ci.com
  • Direct secure messaging: lyudmiladekhovich@mai.allscriptsdirect.net

Organizations & group practices 3

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 10

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1013445998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 300",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-847-3385",
            "fax_number": "908-847-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095204",
            "telephone_number": "718-630-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Memorial Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088652748",
            "country_code": "US",
            "telephone_number": "908-847-3385",
            "fax_number": "908-847-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEKHOVICH",
        "first_name": "LYUDMILA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "308324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldekhovich433923@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "8714 5th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112095204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.