Active NPI
Kseniya Khmara, M.D.
- Anesthesiology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME157032
- Practice address
- Department of Anesthesiology
Stony Brook University Hospital HSC 4
Stony Brook, NY 11794-8480 - Phone
- (631) 444-2975
- NPI assigned
- May 22, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 64068 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | ME157032 | FL | Primary |
Addresses
Primary practice location
Department of Anesthesiology
Stony Brook University Hospital HSC 4
Stony Brook, NY 11794-8480
Mailing address
15 Perona LN
Staten Island, NY 10308-3323
Phone (646) 239-2075
Other practice location 1
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Anesthesia & Pain Treatment, P.a. | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Anesthesiology | Current | Accepting new patients |
| Hudson Ambulatory Medical PLLC | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Anesthesiology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients |
Locations
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
5325 Greenwood Ave
Ste 301
West Palm Beach, FL 33407
Phone (561) 273-4333
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300
515 Madison Ave
Fl 9
New York, NY 10022
Phone (212) 774-7633
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Interoperability endpoints
- kkhmara50011@connecticutchildrens.direct-ci.com
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.
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1528302866
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Anesthesiology
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1952333205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1568874782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PERONA LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103083323",
"telephone_number": "646-239-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF ANESTHESIOLOGY",
"address_2": "STONY BROOK UNIVERSITY HOSPITAL HSC 4",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948480",
"telephone_number": "631-444-2975"
}
],
"practiceLocations": [
{
"address_1": "80 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061028000",
"country_code": "US",
"telephone_number": "860-545-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHMARA",
"first_name": "KSENIYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "64068",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME157032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.