Individual provider Active NPI

Valeriy Kayrov, MD, DO

  • Family Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1649214305
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227968 Issued in NY
Practice address
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone
(718) 734-2444
NPI assigned
Jun 15, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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 227968 NY Primary

Addresses

Primary practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Mailing address

753 Hillcrest PL
North Woodmere, NY 11581-3127
Phone (718) 734-2444

Other identifiers 1

IdentifierTypeStateIssuer
02439361MedicaidNY

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
I20040308001246 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5193613453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

290 Central Ave
Suite 212
Lawrence, NY 11559-8507
Phone (516) 341-7979

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kayrov Medical P.C. Family Medicine CurrentSince Feb 18, 2010 Accepting new patients
Good Will Medical, P.C. Family Medicine Past Accepting new patients
Peninsula Medical Services PC Family Medicine Past Accepting new patients
Five Towns Heart Imaging Medical P.C. Past Accepting new patients
Good Will Medical, P.C. Past Accepting new patients

Locations

5115 Beach Channel Dr
Far Rockaway, NY 11691
Phone (718) 734-2000

5115 Beach Channel Dr
#H
Far Rockaway, NY 11691
Phone (718) 734-3018

290 Central Ave
Ste 212
Lawrence, NY 11559
Phone (516) 341-7979

Organizations & group practices 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1649214305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 HILLCREST PL",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813127",
            "telephone_number": "718-734-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYROV",
        "first_name": "VALERIY",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02439361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.