Active NPI
Yuri Khibkin
- Interventional Pain Medicine Physician
- Holyoke, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 279391
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02670157 | Medicaid | NY | |
| 201366750 | Medicaid | IN |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01077041A | IN | MD | Anesthesiology Physician |
| 27939 | MA | MD | Anesthesiology Physician |
| 279391 | MA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holyoke Medical Center, Inc. | Interventional Pain Medicine | Current | Accepting new patients |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
| St. Joseph's Physician Health, P.C. | Anesthesiology | Past | Accepting new patients |
| Advanced Pain Care Clinic | Interventional Pain Medicine | Past | 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
- 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.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Horn Lake, MS
- NPI 1609796770
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.