Marat G. Chaikhoutdinov, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

240497 Issued in NY

Practice address

1513 Voorhies Ave
Second Floor
Brooklyn, NY 11235-3994

Phone

(718) 332-4440

Fax

(718) 332-5089

NPI assigned

Nov 1, 2006

Last updated

Jul 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ahava Medical Care P.L.L.C.Group PAC ID 0648762237, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

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

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.

• Marat Chaikhoutdinov, Medical P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1538333679
  Medicare reassignment NPD Authorized official
• Ahava Medical Care P.L.L.C.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1376411249
  Medicare reassignment Care Compare group
• Ilyaev Medicine PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1922853464
  Medicare reassignment NPD
• Interborough Developmental and Consultation Center, Inc.

  dba IDCC Health Services

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1912867433

  Family Medicine

  NPD (past)
• University Physicians Group P C

  • General Practice Physician
  • Staten Island, NY
  • NPI 1104872134

  Family Medicine

  NPD (past)
• Well Plus Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1043250491
  NPD (past)

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

• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1588843650
  Care Compare affiliation
• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1841491412
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1063590891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KINGS HWY",
            "address_2": "5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141525",
            "telephone_number": "718-513-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 VOORHIES AVE",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353994",
            "telephone_number": "718-332-4440",
            "fax_number": "718-332-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIKHOUTDINOV",
        "first_name": "MARAT",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87766",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaya Chaifetz, MSE
• Faygie Chaifetz
• Jean Chaya Chaifetz
• Leah Chaifetz
• Jillian K Chaiken
• Irina Chaikhoutdinova, PA
• Hannah B Rose Chaikin
• Chaim Bernstein MD PC
• Chaim Kaplan MD PC
• Chaim Sender, LCSW, PC

• 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 19, 2012; 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.