Individual provider Active NPI

Lana Schikman, DOPM

  • Podiatrist
  • Kew Gardens, NY
National Provider Identifier
1073600664
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006176-1 Issued in NY
Practice address
11960 Metropolitan Ave
Kew Gardens, NY 11415-2606
Phone
(718) 441-0908
Fax
(718) 441-0793
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006176-1 NY Primary

Addresses

Primary practice location

11960 Metropolitan Ave
Kew Gardens, NY 11415-2606

Mailing address

11011 Queens Blvd Apt 21M
Forest Hills, NY 11375-5408
Phone (718) 544-3171

Other identifiers 1

IdentifierTypeStateIssuer
02848084MedicaidNY

Other names 1

  • Mrs. Lubov Chikvashvili Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000475 NY Practitioner - Podiatry 4082615638 Practice locations: New York, NY; Kew Gardens, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11960 Metropolitan Ave
Kew Gardens, NY 11415-2606
Phone (718) 441-0908

945 E 108TH St
Brooklyn, NY 11236-3003
Phone (718) 688-8809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of nail tissue273
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006176NYMDOptometrist
N006176-1NYMDPodiatrist

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1073600664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD APT 21M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755408",
            "telephone_number": "718-544-3171",
            "fax_number": "516-921-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152606",
            "telephone_number": "718-441-0908",
            "fax_number": "718-441-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIKMAN",
        "first_name": "LANA",
        "name_prefix": "Dr.",
        "credential": "DOPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006176-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02848084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUBOV",
            "last_name": "CHIKVASHVILI",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.