Individual provider Active NPI

Kirill V Rikher, M.D., PH.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1578530788
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
195662 Issued in NY
Practice address
3060 Ocean Ave
Suite L-a
Brooklyn, NY 11235-3364
Phone
(718) 769-0400
Fax
(718) 769-0183
NPI assigned
Mar 7, 2006
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 195662 NY Primary

Addresses

Primary practice location

3060 Ocean Ave
Suite L-a
Brooklyn, NY 11235-3364

Mailing address

3060 Ocean Ave
Suite L-a
Brooklyn, NY 11235-3364
Phone (718) 769-0400

Other identifiers 1

IdentifierTypeStateIssuer
01755839MedicaidNY

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
I20110606000618 NY Practitioner - Family Practice 8325225006 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians
Lefferts Medical Associates PCGroup PAC ID 6305839150, 17 clinicians

Practice addresses (Care Compare)

10837 71St Ave
Suite 2
Forest Hills, NY 11375-4510
Phone (718) 575-8787

26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone (718) 347-0434

7801 Myrtle Ave
Glendale, NY 11385-7439
Phone (718) 386-8300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Health of Ny PC CurrentSince Aug 1, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Active Life Health of Garden City Medical PLLC CurrentSince Aug 1, 2021 Accepting new patients
Empire Family Medicine Family Medicine Current Accepting new patients
Lefferts Medical Associates PC CurrentSince Jun 1, 2022 Accepting new patients
Active Life Health of Ny PC CurrentSince Aug 1, 2021 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince May 1, 2022 Accepting new patients
Active Life Health of Garden City Medical PLLC CurrentSince Aug 1, 2021 Accepting new patients
Comprehensive Women's Health of N.Y. PLLC CurrentSince Oct 15, 2019 Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3060 Ocean Ave
Ste La
Brooklyn, NY 11235
Phone (718) 769-0400

623 Stewart Ave
Ste 102
Garden City, NY 11530
Phone (516) 331-2082

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

7801 Myrtle Ave
Ste B
Glendale, NY 11385
Phone (718) 386-8300

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

808 Hicksville Rd
#A
Massapequa, NY 11758
Phone (516) 597-4242

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

57 W 57th St
Ste 1603
New York, NY 10019
Phone (646) 586-9333

27005 76th Ave
North New Hyde Pk, NY 11040

300 E Main St
Ste 1
Smithtown, NY 11787
Phone (631) 265-3727

311 North St
Ste 406
White Plains, NY 10605
Phone (914) 785-7752

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 12

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1578530788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE",
            "address_2": "SUITE L-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353364",
            "telephone_number": "718-769-0400",
            "fax_number": "718-769-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 OCEAN AVE",
            "address_2": "SUITE L-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353364",
            "telephone_number": "718-769-0400",
            "fax_number": "718-769-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKHER",
        "first_name": "KIRILL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "195662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.