Rena Khanukayeva

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

212257 Issued in NY

Practice address

34 Dumont Ave
Staten Island, NY 10305-1450

Phone

(718) 980-3232

Fax

(718) 980-3233

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rena Khanukayeva D.O.,P.C.Group PAC ID 7416045133, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score

22.92 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.42

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Rena Khanukayeva D.O.,P.C.

  • Clinic/Center
  • Staten Island, NY
  • NPI 1639370554
  Medicare reassignment Care Compare group NPD Authorized official
• Carnegie Hill Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Springfield Gardens, NY
  • NPI 1760538235
  NPD (past)
• Good Health Medical, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1619056314
  NPD (past)
• Lifeline Medical Testing PLLC

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1114634482
  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)

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

• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Manhasset, NY
  • NPI 1417965278
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471
  Care Compare affiliation
• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1255358164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 DUMONT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051450",
            "telephone_number": "718-980-3232",
            "fax_number": "718-980-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 DUMONT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051450",
            "telephone_number": "718-980-3232",
            "fax_number": "718-980-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANUKAYEVA",
        "first_name": "RENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahkar Ali Khan, M.D
• Zainab Khan
• Priyeta Khanal, MS, OTR/L
• Aliasger Khanbhai, MD
• Vaishali P Khandare, OTR/L
• Khrystyna Khapitska, RN
• Megan Louise Khariton, D.O.
• Ishita S Kharode, M.D.
• Annet Khaselev
• Yelena Khashchevatskaya, CCC-SLP

• Family Medicine Physician in Staten Island, NY
• Providers in Staten Island, 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 Sep 24, 2024; 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.