Individual provider Active NPI

Elvina Khusainova, M.D.

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1669782439
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
282764 Issued in NY
Practice address
360 W 31St St FL 3
New York, NY 10001-2861
Phone
(646) 987-3436
Fax
(646) 293-1441
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 282764 NY Primary

Addresses

Primary practice location

360 W 31St St FL 3
New York, NY 10001-2861

Mailing address

700 Hicksville Rd Ste 205
Bethpage, NY 11714-3472

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
I20161202000188 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8628389061 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2005
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)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Oct 16, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Pulmonary Disease CurrentSince Nov 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Oct 16, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2017 Accepting new patients
Memorial Pulmonary Function Group Pulmonary Disease CurrentSince Oct 16, 2017 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

425 Westchester Ave
Bronx, NY 10455
Phone (347) 343-0568

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

360 W 31st St
Fl 3
New York, NY 10001
Phone (646) 987-3436

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

Networks

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

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1669782439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD STE 205",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W 31ST ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012861",
            "telephone_number": "646-987-3436",
            "fax_number": "646-293-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUSAINOVA",
        "first_name": "ELVINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "282764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.