NPIMap

Individual provider Active NPI

Yakub Abrakhimov, M.D.

  • Interventional Pain Medicine Physician
  • Rego Park, NY
National Provider Identifier
1144457698
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
264776 Issued in NY
Practice address
6240 Woodhaven Blvd Ste P17
Rego Park, NY 11374-3702
Phone
(718) 200-8846
NPI assigned
Jun 11, 2009
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 264776 NY
Interventional Pain Medicine Physician 208VP0014X 264776 NY Primary

Addresses

Primary practice location

6240 Woodhaven Blvd Ste P17
Rego Park, NY 11374-3702

Mailing address

6240 Woodhaven Blvd Ste P17
Rego Park, NY 11374-3702
Phone (718) 200-8846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000576 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1153565346 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ya Anesthesia Ny PCGroup PAC ID 2668711490, 2 clinicians

Practice addresses (Care Compare)

11011 71St Ave
Forest Hills, NY 11375-4536
Phone (718) 606-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Jul 18, 2017 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Jul 7, 2019 Accepting new patients
Ya Anesthesia Ny PC Anesthesiology CurrentSince Dec 30, 2018 Accepting new patients
Pain Sedation Anesthesia PC Anesthesiology CurrentSince Dec 17, 2021 Accepting new patients
Upstate Anesthesia Services, P.C. Anesthesiology CurrentSince Apr 1, 2020 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jul 7, 2019 Accepting new patients
Emusc, LLC CurrentSince Jul 18, 2017 Accepting new patients
Gulkarov Family Health NP PLLC PastSince Jun 24, 2024 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients

Locations

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

6240 Woodhaven Blvd
Ste P17
Rego Park, NY 11374
Phone (718) 200-8846

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Networks

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

Organizations & group practices 9

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.

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1144457698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 WOODHAVEN BLVD STE P17",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743702",
            "telephone_number": "718-200-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 WOODHAVEN BLVD STE P17",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743702",
            "telephone_number": "718-200-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAKHIMOV",
        "first_name": "YAKUB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "264776",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "264776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.