Individual provider Active NPI

Lev Mark Khitin, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
National Provider Identifier
1043293798
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
00026821 Issued in AL
Practice address
406 15TH St
Brooklyn, NY 11215-6054
Phone
(718) 701-5852
Fax
(347) 269-4007
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 00026821 AL Primary

Addresses

Primary practice location

406 15TH St
Brooklyn, NY 11215-6054

Mailing address

10 West St
Suite 21E
New York, NY 10004-1072
Phone (718) 701-5852

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
I20071107000009 NY Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 8527090802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lev M Khitin MD PCGroup PAC ID 5193876472, 2 clinicians

Practice addresses (Care Compare)

30 Park Ave
Suite S1
New York, NY 10016-3801
Phone (718) 701-5852

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026821ALMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lev M Khitin MD PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 8, 2009 Accepting new patients

Locations

44 Court St
Ste 915
Brooklyn, NY 11201
Phone (212) 575-8346

406 15th St
Ste 1
Brooklyn, NY 11215
Phone (212) 575-8346

30 Park Ave
Ofc S1
New York, NY 10016

30 Park Ave
Ste S1
New York, NY 10016
Phone (718) 701-5852

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1043293798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "address_2": "SUITE 21E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041072",
            "telephone_number": "718-701-5852",
            "fax_number": "347-269-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156054",
            "telephone_number": "718-701-5852",
            "fax_number": "347-269-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHITIN",
        "first_name": "LEV",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "00026821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.