Individual provider Active NPI

Anatoli Khilkin, MD

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1730141979
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
168153 Issued in NY
Practice address
201-23 Brighton 1St Rd
Brooklyn, NY 11235-7650
Phone
(718) 648-3011
Fax
(718) 648-1786
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 168153 NY Primary

Addresses

Primary practice location

201-23 Brighton 1St Rd
Brooklyn, NY 11235-7650

Mailing address

3333 Henry Hudson Pkwy
Apt 4N
Bronx, NY 10463-3262
Phone (718) 543-6916

Other identifiers 1

IdentifierTypeStateIssuer
01008662MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730141979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "APT 4N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633262",
            "telephone_number": "718-543-6916",
            "fax_number": "718-543-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201-23 BRIGHTON 1ST RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357650",
            "telephone_number": "718-648-3011",
            "fax_number": "718-648-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHILKIN",
        "first_name": "ANATOLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "168153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01008662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.