Individual provider Active NPI

Yuri Khibkin

  • Interventional Pain Medicine Physician
  • Holyoke, MA
National Provider Identifier
1023177664
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
279391 Issued in MA
Practice address
10 Hospital Dr Ste 103
Holyoke, MA 01040-6603
Phone
(134) 535-4933
Fax
(413) 535-4934
NPI assigned
Dec 8, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27939 MA
Anesthesiology Physician 207L00000X 235329 NY
Interventional Pain Medicine Physician 208VP0014X 279391 MA Primary
Interventional Pain Medicine Physician 208VP0014X 01077041A IN

Addresses

Primary practice location

10 Hospital Dr Ste 103
Holyoke, MA 01040-6603

Mailing address

10 Hospital Dr Ste 103
Holyoke, MA 01040-6603
Phone (134) 535-4933

Other practice location 1

8000 Centerview Pkwy Ste 100
Cordova, TN 38018-4289
Phone (901) 249-5905

Other practice location 2

6426 Highway 51 N Ste B
Horn Lake, MS 38637-2474
Phone (662) 440-7246

Other practice location 3

6426 Highway 51 N Ste B
Horn Lake, MS 38637-2474
Phone (662) 440-7246

Other identifiers 2

IdentifierTypeStateIssuer
02670157MedicaidNY
201366750MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190926002509 MA Practitioner - Pain Management 1759449218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603

10 Hospital Dr
Suite 203
Holyoke, MA 01040-6643
Phone (413) 536-5814

575 Beech St
Holyoke, MA 01040-2223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01077041AINMDAnesthesiology Physician
27939MAMDAnesthesiology Physician
279391MAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. Interventional Pain Medicine CurrentSince Sep 2, 2019 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Sep 15, 2019 Accepting new patients
St. Joseph's Physician Health, P.C. Anesthesiology Past Accepting new patients
Advanced Pain Care Clinic Interventional Pain Medicine PastSince Jul 21, 2026 Accepting new patients

Locations

10 Hospital Dr
Ste 103
Holyoke, MA 01040
Phone (413) 535-4757

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

Interoperability endpoints

  • Direct secure messaging: yuri.khibkin@direct.hmcs.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1023177664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR STE 103",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "134-535-4933",
            "fax_number": "413-535-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR STE 103",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "134-535-4933",
            "fax_number": "413-535-4934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Centerview Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184289",
            "country_code": "US",
            "telephone_number": "901-249-5905",
            "fax_number": "901-249-5940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6426 Highway 51 N Ste B",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386372474",
            "country_code": "US",
            "telephone_number": "662-440-7246",
            "fax_number": "662-439-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6426 Highway 51 N Ste B",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386372474",
            "country_code": "US",
            "telephone_number": "662-440-7246",
            "fax_number": "662-430-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHIBKIN",
        "first_name": "YURI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "27939",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "235329",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "279391",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01077041A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670157",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201366750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.