Igal Khorshidi, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

256986 Issued in NY

Practice address

7911 41St Ave
A108
Elmhurst, NY 11373-1258

Phone

(718) 734-0404

Fax

(646) 661-2795

NPI assigned

Jul 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

GastroenterologyAlso: Internal Medicine

Education

Other, 2005

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 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.

• Igal Khorshidi, M.D., P.C.

  • Gastroenterology Physician
  • Elmhurst, NY
  • NPI 1871930073
  Medicare reassignment NPD Authorized official
• Elmhurst Gastroenterology and Endoscopy, PC

  • Clinical Pathology Physician
  • Elmhurst, NY
  • NPI 1134622152
  NPD Authorized official
• Igal Khorshidi, M.D., P.C.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1265860753
  NPD (past) Authorized official
• Standard Gastroenterology and Endoscopy PC

  • Gastroenterology Physician
  • Elmhurst, NY
  • NPI 1275060832
  NPD
• Manhattan Gastroenterology Associates PC

  • Gastroenterology Physician
  • New York, NY
  • NPI 1477748812
  NPD (past)

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1659500668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 41ST AVE",
            "address_2": "A108",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731258",
            "telephone_number": "718-734-0404",
            "fax_number": "646-661-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 41ST AVE",
            "address_2": "A108",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731258",
            "telephone_number": "718-734-0404",
            "fax_number": "646-661-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSHIDI",
        "first_name": "IGAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "256986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03540943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitali Khera-Mehra, MSW
• Khin Aung Medical PC
• Sona Khirsariya
• Abdul Khokhar, MD
• Tanzina Khondaker, RPH
• Riddhi Khose
• Bhupinder Khurana, M.D.
• Kids Dental of Queens PC
• Brian Dongha Kim, M.D.
• Byung Moon Kim, M.D.

• Gastroenterology Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.