Individual provider Active NPI

Ekaterina Olkhina, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1114258795
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266876-1 Issued in NY
Practice address
220 13TH St
Brooklyn, NY 11215-4802
Phone
(718) 832-5980
Fax
(718) 832-5991
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266876-1 NY Primary

Addresses

Primary practice location

220 13TH St
Brooklyn, NY 11215-4802

Mailing address

220 13TH St
Brooklyn, NY 11215-4802
Phone (718) 832-5980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eolkhina132996@nyumc.direct-ci.com

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
I20140708002267 NY Practitioner - Internal Medicine 7416189394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NYU Langone HospitalsGroup PAC ID 4981515699, 245 clinicians

Practice addresses (Care Compare)

301 E 17TH St
New York, NY 10003-3804
Phone (212) 598-2454

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266876-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Jan 1, 2016 Accepting new patients
NYU Langone Hospitals Internal Medicine Current Accepting new patients
NYU Langone Hospitals CurrentSince Jan 1, 2016 Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

220 13th St
Brooklyn, NY 11215
Phone (718) 832-5980

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1114258795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154802",
            "telephone_number": "718-832-5980",
            "fax_number": "718-832-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154802",
            "telephone_number": "718-832-5980",
            "fax_number": "718-832-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLKHINA",
        "first_name": "EKATERINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266876-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eolkhina132996@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "220 13th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112154802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.