Individual provider Active NPI

Khairun Pinki, DO

  • Nephrology Physician
  • Jackson Heights, NY
National Provider Identifier
1457980914
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
323043-01 Issued in NY
Practice address
3435 70TH St
Jackson Heights, NY 11372-1055
Phone
(347) 460-4253
NPI assigned
Apr 6, 2020
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 323043-01 NY Primary

Addresses

Primary practice location

3435 70TH St
Jackson Heights, NY 11372-1055

Mailing address

3435 70TH St
Jackson Heights, NY 11372-1055
Phone (347) 460-4253

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
I20251219001086 NY Practitioner - Nephrology 5698260446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Kidney PhysiciansGroup PAC ID 4284978115, 8 clinicians

Practice addresses (Care Compare)

3435 70TH St
Jackson Heights, NY 11372-1055
Phone (718) 651-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323043-01NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Kidney Physicians Nephrology CurrentSince Oct 12, 2025 Accepting new patients

Locations

3435 70th St
Jackson Hts, NY 11372
Phone (718) 651-9700

Interoperability endpoints

  • Direct secure messaging: kpinki84834@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1457980914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "347-460-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "347-460-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKI",
        "first_name": "KHAIRUN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "323043-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.