Samer A. Khosrof, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

241115 Issued in NY

Practice address

333 86TH St
Suite 1B
Brooklyn, NY 11209-5057

Phone

(718) 630-1010

Fax

(718) 630-1020

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

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.

• Bay Ridge Eye & Retina Specialist

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1306022652
  Medicare reassignment NPD Authorized official
• Meyer Eye Group PLC

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1669427886
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1629138540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 86TH ST",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095057",
            "telephone_number": "718-630-1010",
            "fax_number": "718-630-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 86TH ST",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095057",
            "telephone_number": "718-630-1010",
            "fax_number": "718-630-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSROF",
        "first_name": "SAMER",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "241115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natali Khoroshun
• Mitra Khorramshadi
• Shlomo Khoshayev
• Naghmeh Khoshkharaman, PHARM.D.
• Nina Khosid
• Irina Khotimski
• Margarita Khotsyna
• Natalia Khotunitskaya, MS, OTR/L
• Boris Khotylev, P.T.
• Khoury Medical Care PC

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.

Verify at the official NPI Registry.