Active NPI
Doreen Khakshour, DO
- Allergy & Immunology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 328291
- Practice address
- 1575 Hillside Ave
New Hyde Park, NY 11040-2521 - Phone
- (212) 686-6321
- NPI assigned
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 328291 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1575 Hillside Ave
New Hyde Park, NY 11040-2521
Mailing address
5645 Main St
Flushing, NY 11355-5045
Other practice location 1
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623001349 | NY | Practitioner - Allergy/Immunology | 8820561731 |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21 Wildwood Dr
Great Neck, NY 11024-1221
55 E 87TH St
Suite 1C
New York, NY 10128-1049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Allergy & Sinus Group, PLLC | Allergy & Immunology | Current | Accepting new patients |
Locations
877 Stewart Ave
Ste 5
Garden City, NY 11530
Phone (516) 794-8772
1575 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 200-1835
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1033274147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1467033902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402521",
"telephone_number": "212-686-6321"
}
],
"practiceLocations": [
{
"address_1": "5645 Main St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113555045",
"country_code": "US",
"telephone_number": "718-670-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAKSHOUR",
"first_name": "DOREEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "328291",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.