Individual provider Active NPI

Zukhra Shukurova, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1265764260
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254946-1 Issued in NY
Practice address
2421 Ocean Ave
Apt 3B
Brooklyn, NY 11229-3566
Phone
(917) 312-0059
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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 254946-1 NY Primary

Addresses

Primary practice location

2421 Ocean Ave
Apt 3B
Brooklyn, NY 11229-3566

Mailing address

2421 Ocean Ave
Apt 3B
Brooklyn, NY 11229-3566
Phone (917) 312-0059

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
I20100730000493 NY Practitioner - Internal Medicine 1557494366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Medical Care PCGroup PAC ID 8224219860, 6 clinicians

Practice addresses (Care Compare)

749 Ocean Pkwy
Brooklyn, NY 11230-7813
Phone (718) 645-0500

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254946-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Medical & Dental Center Inc CurrentSince Nov 15, 2021 Accepting new patients
Modern Medical Care PC CurrentSince Jul 11, 2022 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

Networks

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

Organizations & group practices 4

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 1

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1265764260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 OCEAN AVE",
            "address_2": "APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293566",
            "telephone_number": "917-312-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 OCEAN AVE",
            "address_2": "APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293566",
            "telephone_number": "917-312-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKUROVA",
        "first_name": "ZUKHRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254946-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.