Individual provider Active NPI

Eva Khavkin, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1306884978
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
190588 Issued in NY
Practice address
2925A Kings Hwy
Brooklyn, NY 11229-1805
Phone
(718) 382-0045
Fax
(718) 382-0051
NPI assigned
Jun 3, 2006
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 190588 NY Primary

Addresses

Primary practice location

2925A Kings Hwy
Brooklyn, NY 11229-1805

Mailing address

2925A Kings Hwy
Brooklyn, NY 11229-1805
Phone (718) 382-0045

Other identifiers 1

IdentifierTypeStateIssuer
01-569548-0463MedicaidNY

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
I20040511000229 NY Practitioner - Psychiatry 7214926609 Reassigns benefits to 1 organization
Practice locations: Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

156 Beach 9TH St
FL 2
Far Rockaway, NY 11691-5636
Phone (718) 686-3149

Merit-based Incentive Payment System (MIPS)

Final score
24.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Children's Home and Family Services, Inc. CurrentSince Nov 5, 2014 Accepting new patients
Ohel Children's Home and Family Services, Inc. CurrentSince Nov 5, 2014 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
Eva Khavkin Medical PC Past Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients
Ohel Childrens Home Past Accepting new patients

Locations

1268 E 14th St
Brooklyn, NY 11230
Phone (718) 851-6300

2925A Kings Hwy
Brooklyn, NY 11229

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1306884978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925A KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291805",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925A KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291805",
            "telephone_number": "718-382-0045",
            "fax_number": "718-382-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVKIN",
        "first_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "190588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-569548-0463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.