Yekaterina Fatakhova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

323399 Issued in NY

Practice address

9901 Queens Blvd
Rego Park, NY 11374-4512

Phone

(718) 520-6100

NPI assigned

Mar 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

State University of New York Downstate Medical Center, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Medical Group of the Mount Sinai School of MedicineGroup PAC ID 8921999087, 325 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• 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.

• North Shore Medical Group of the Mount Sinai School of Medicine

  dba Mount Sinai Doctors Long Island

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609
  Medicare reassignment Care Compare group NPD
• Yf Medical Services PC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1649089590
  Medicare reassignment NPD Authorized official
• Medical Care for You PC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1659906667
  Medicare reassignment NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Wantagh, NY
  • NPI 1992417323
  NPD
• Excel Medical PC

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1003005083
  NPD (past)
• Rego Park Pharmacy LLC

  • Community/Retail Pharmacy
  • Rego Park, NY
  • NPI 1275038028
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1316574601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744512",
            "telephone_number": "718-520-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744512",
            "telephone_number": "718-520-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAKHOVA",
        "first_name": "YEKATERINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "323399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farnaz Fahimirad
• Fasttrack Urgent Care PLLC
• Rosy Fatakhov
• Vitaliy Fatakhov, FNP
• Nagmo M Fatakhova, M.D.
• Natella Fayzibayev
• Daniel Fayziyev
• Natalya Fazylova, NP
• FCN Surgery Center, LLC
• Feeling Whole Again Inc.

• Internal Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.