Khurshida Achilova, CM, LM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

002046 Issued in NY

Practice address

3047 Brighton 6TH St Ste 1
Brooklyn, NY 11235-6534

Phone

(718) 743-7877

NPI assigned

Dec 7, 2020

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vladimir Zelenko MD PCGroup PAC ID 4587714985, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

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

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.

• Vladimir Zelenko M.D. P.C.

  • Family Medicine Physician
  • Monroe, NY
  • NPI 1063669562
  Medicare reassignment Care Compare group NPD
• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment NPD
• Manhattan Beach OBGYN, P.C.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1598924458
  NPD
• Professional Gynecological Services, PC

  • Anesthesiology Physician
  • Bklyn, NY
  • NPI 1184847410
  NPD
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Liberty, NY
  • NPI 1942903588
  NPD
• Refuah Health Center, Inc.

  dba Refuah Health Twin

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1952678245
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1679179477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 BRIGHTON 6TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356534",
            "telephone_number": "718-743-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 BRIGHTON 6TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356534",
            "telephone_number": "718-743-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Dekalb Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015311",
            "country_code": "US",
            "telephone_number": "718-875-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHILOVA",
        "first_name": "KHURSHIDA",
        "credential": "CM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achieve Early Intervention Services LLC
• Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC
• Achievers First Step Rehab PT PC
• Immaculeta Achilike, M.D., M.P.H.
• Achilles Tots Corp
• Ifeyinwa Acholonu
• Kelechi Acholonu, DO
• Danielle Achong, OT
• Geoffrey Achonu, M.D.
• Eleonora Achrak, DO

• Advanced Practice Midwife in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.