Irina Klebanov, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

223026 Issued in NY

Practice address

1517 Voorhies Ave
Brooklyn, NY 11235-3970

Phone

(718) 676-4500

Fax

(718) 942-5649

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fayn Medical PCGroup PAC ID 8527140227, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: irk9028@direct.nyp.org

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.

• Fayn Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1538198635
  Medicare reassignment Care Compare group NPD Authorized official
• Brooklyn Comprehensive Care Center Inc.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1154355105
  Medicare reassignment NPD

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

• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013955285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 OCEANA DR E",
            "address_2": "6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356684",
            "telephone_number": "718-496-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353970",
            "telephone_number": "718-676-4500",
            "fax_number": "718-942-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBANOV",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02221167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Klaus
• Sara Klayman
• Nelly Klayn, SLP
• Kle Nurse Practitioner in Psychiatry PLLC
• Igor Klebanov, D.D.S.
• Harris Jay Kleeman, M.D.
• Kleer Labs LLC
• Mark Daren Kleid, M.D.
• Edward Kleiman
• Michele Rose Kleiman, LMSW

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.