Iskander Derd Enikeev, M.D., PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

203948 Issued in NY

Practice address

7 Corbin PL
Unit C1
Brooklyn, NY 11235-4801

Phone

(718) 331-3800

Fax

(718) 331-3387

NPI assigned

May 7, 2007

Sex

Male

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

Psychiatry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.18 of 100Reported as group

Quality

77.1

Promoting interoperability

100

Improvement activities

40

Cost

86.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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.

• New York Psychiatric Services, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1538371018
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1265645154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORBIN PL",
            "address_2": "UNIT C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354801",
            "telephone_number": "718-331-3800",
            "fax_number": "718-331-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORBIN PL",
            "address_2": "UNIT C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354801",
            "telephone_number": "718-331-3800",
            "fax_number": "718-331-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENIKEEV",
        "first_name": "ISKANDER",
        "middle_name": "DERD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "203948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01737237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enhance TR Inc
• Enhanced Support Services Inc.
• Eni of Ny Corp
• Chisom Eni-Kalu
• Enigma Management Corp Dba Alliance Laboratory
• Enlightened Kids ABA/Si Services
• Aneesa Ennab, CRNA
• Joel Ennin, MD
• Paul K Ennin, M.D
• Alexia S Ennis, LMSW

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.