Boris Khaimov, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

007580 Issued in NY

Practice address

8401 Main St
Suite#416
Briarwood, NY 11435-1722

Phone

(718) 431-5251

Fax

(718) 830-1149

NPI assigned

Sep 27, 2006

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• 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-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment
• Advanced Medical Care

  • Nuclear Cardiology Physician
  • Brooklyn, NY
  • NPI 1912078742
  NPD (past)
• Advanced Medical Care PLLC

  • Nuclear Cardiology Physician
  • Forest Hills, NY
  • NPI 1689745424
  NPD (past)
• Factor Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1013309806
  NPD (past)
• Inzlicht, Lewin & Winiarsky, MD, PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1194934661
  NPD (past)
• MM Medical Service PC

  • Specialist
  • Forest Hills, NY
  • NPI 1104281286
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427149673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAIN ST",
            "address_2": "SUITE#416",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351722",
            "telephone_number": "718-431-5251",
            "fax_number": "718-830-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAIN ST",
            "address_2": "SUITE#416",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351722",
            "telephone_number": "718-431-5251",
            "fax_number": "718-830-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIMOV",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "007580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Kaziyeva
• Mishell Kizanne Kelley, LPN
• Key Health Pharmacy Corp
• Key Healthy Choice Corp
• Key RX Inc
• Mikhail Khaitov, D.O.
• Leya Kikirov
• Shelly Kim, M.S. ED.
• Elizabeth King, RN
• Erica King, M.S.ED

• Surgical Physician Assistant in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.