Active NPI
Daniel Khaimov, M.D.
- Psychiatry Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 221599-1
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1030
- Fax
- (516) 437-4167
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 221599-1 | NY | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
PO Box 27842
New York, NY 10087-7842
Phone (718) 670-1651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02168023 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10326 68TH Rd
Forest Hills, NY 11375-3200
Phone 7182613330221
178 -10 Wexford Terrace
Jamaica Estates, NY 11432-3050
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.7 of 100
- Quality
- 70.34
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 76.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221599-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Center for Psychotherapy, Inc. | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Forest View Nursing Home, Inc. | Past | Accepting new patients | |
| Naeem Chaudhry MD PC | Past | Accepting new patients | |
| Comprehensive Counseling LCSW, PLLC | Psychiatry | Past | Accepting new patients |
| Briarwood Medical Services PC | Past | Accepting new patients |
Locations
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dkhaimov3227@direct.medisys.org
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Forest Hills, NY
- NPI 1346261666
-
dba Jamaica Hospital Emergency Department - Radiology
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Primary Care Clinic/Center
- Briarwood, NY
- NPI 1770780926
-
dba Forest View Center for Rehabilitation and Nursing
- Skilled Nursing Facility
- Forest Hills, NY
- NPI 1396732921
-
- Geriatric Medicine (Internal Medicine) Physician
- Elmhurst, NY
- NPI 1174939516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1518912583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27842",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877842",
"telephone_number": "718-670-1651",
"fax_number": "516-437-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1030",
"fax_number": "516-437-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIMOV",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "221599-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02168023",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.