Individual provider Active NPI

Boris Khorets, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1619989514
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205586 Issued in NY
Practice address
3632 Nostrand Ave Ste 3
Brooklyn, NY 11229-5308
Phone
(718) 615-0162
Fax
(718) 934-1324
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205586 NY Primary

Addresses

Primary practice location

3632 Nostrand Ave Ste 3
Brooklyn, NY 11229-5308

Mailing address

3632 Nostrand Ave Ste 3
Brooklyn, NY 11229-5308
Phone (718) 615-0162

Other identifiers 1

IdentifierTypeStateIssuer
01729588MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkhorets334376@nyumc.direct-ci.com Direct

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
I20100924000070 NY Practitioner - Internal Medicine 1153421219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

488 Great Neck Rd
FL 3
Great Neck, NY 11021-4315
Phone (516) 482-6747

Hospital & facility affiliations

  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Shore Medical PC Internal Medicine CurrentSince Apr 18, 2014 Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

2912 Avenue X
Brooklyn, NY 11235
Phone (347) 570-5348

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

3632 Nostrand Ave
Ste 3
Brooklyn, NY 11229
Phone (718) 336-2258

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

488 Great Neck Rd
Fl 3
Great Neck, NY 11021
Phone (516) 466-5222

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: boriskhorets@mai.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1619989514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 NOSTRAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295308",
            "telephone_number": "718-615-0162",
            "fax_number": "718-934-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 NOSTRAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295308",
            "telephone_number": "718-615-0162",
            "fax_number": "718-934-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORETS",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729588",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkhorets334376@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2912 Avenue X",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112351906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.