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

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

Other identifiers 2

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.

• Marat Chaikhoutdinov, Medical P.C.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1538333679

  NY

  Medicare reassignment NPD Authorized official
• Ahava Medical Care P.L.L.C.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1376411249

  NY

  Medicare reassignment Care Compare group
• Ilyaev Medicine PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1922853464

  NY

  Medicare reassignment NPD
• 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

  Family Medicine

  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

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. 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 8)

Locations

Networks

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

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A877660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02823449",
            "state": "NY"
        }
    ],
    "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

• All providers in Brooklyn, NY
• 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.