Individual provider Active NPI

Miriam Samekhova

  • Family Nurse Practitioner
  • Kew Gardens, NY
National Provider Identifier
1659144186
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352774 Issued in NY
Practice address
11956 Metropolitan Ave
Kew Gardens, NY 11415-2606
Phone
(347) 730-8201
Fax
(929) 335-2526
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352774 NY Primary

Addresses

Primary practice location

11956 Metropolitan Ave
Kew Gardens, NY 11415-2606

Mailing address

8542 116TH St
Richmond Hill, NY 11418-1711
Phone (347) 730-8201

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124004036 NY Practitioner - Nurse Practitioner 3173976255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Practice addresses (Care Compare)

11909 Metropolitan Ave
Kew Gardens, NY 11415-2605
Phone (718) 580-1414

3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (646) 535-1545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings County House Calls NP in Family Health PLLC CurrentSince Jan 11, 2024 Accepting new patients
M.S. Family Health NP PLLC Family CurrentSince Nov 1, 2024 Accepting new patients

Locations

3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545

11956 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 441-2291

11909 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 580-1414

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDEHDD/Endpoint/GDEHDD

Organizations & group practices 2

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 3

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1659144186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 116TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181711",
            "telephone_number": "347-730-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11956 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152606",
            "telephone_number": "347-730-8201",
            "fax_number": "929-335-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEKHOVA",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.