Individual provider Active NPI

Inna Markhasina, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1548250475
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
215586 Issued in NY
Practice address
920 E 17TH St
Brooklyn, NY 11230-3751
Phone
(171) 825-2772
Fax
(171) 833-6304
NPI assigned
Oct 22, 2005
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 215586 NY Primary

Addresses

Primary practice location

920 E 17TH St
Brooklyn, NY 11230-3751

Mailing address

920 E 17TH St
Brooklyn, NY 11230-3751
Phone (718) 252-7726

Other identifiers 1

IdentifierTypeStateIssuer
02010626MedicaidNY

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
I20040603001069 NY Practitioner - Psychiatry 1153303003 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Practice addresses (Care Compare)

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

260 Ave X
Brooklyn, NY 11223-5940
Phone (718) 336-8855

938 Kings Hwy
Brooklyn, NY 11223

Merit-based Incentive Payment System (MIPS)

Final score
18.66 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
62.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Century Medical & Dental Center Inc CurrentSince Jan 1, 2014 Accepting new patients
Brooklyn Center for Families in Crisis Past Accepting new patients
Brooklyn Care Medical PC PastSince Oct 1, 2002 Accepting new patients
New Horizon Medical P.C. PastSince Aug 1, 1999 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1548250475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303751",
            "telephone_number": "718-252-7726",
            "fax_number": "171-833-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303751",
            "telephone_number": "171-825-2772",
            "fax_number": "171-833-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHASINA",
        "first_name": "INNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-22",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "215586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.