NPIMap

Individual provider Active NPI

Daniel Khaimov, M.D.

  • Anesthesiology Physician
  • Fresh Meadows, NY
National Provider Identifier
1750545307
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
244768 Issued in NY
Practice address
77-36 169 Street 1St Floor
Fresh Meadows, NY 11366
Phone
(718) 878-4656
Fax
(718) 889-7444
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 244768 NY Primary

Addresses

Primary practice location

77-36 169 Street 1St Floor
Fresh Meadows, NY 11366

Mailing address

77-36 169 Street 1St Floor
Fresh Meadows, NY 11366
Phone (718) 878-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000095 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7012046923 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DK Pain Medicine PCGroup PAC ID 1153545629, 4 clinicians

Practice addresses (Care Compare)

15031 Union Tpke
Flushing, NY 11367-3927
Phone (347) 454-2050

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Concepts PC CurrentSince Oct 1, 2010 Accepting new patients
Triborough Medical PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
DK Pain Medicine PC CurrentSince Feb 15, 2014 Accepting new patients
Advanced Medical Concepts PC CurrentSince Oct 1, 2010 Accepting new patients
Downtown Brooklyn Medical PLLC CurrentSince Oct 1, 2021 Accepting new patients
New Day Medical PC Anesthesiology CurrentSince Jan 1, 2016 Accepting new patients
Downtown Physicians P.C. PastSince Sep 1, 2019 Accepting new patients

Locations

200 Broadway
Ste 3237
Brooklyn, NY 11211

15031 Union Tpke
Ste 1
Flushing, NY 11367
Phone (718) 878-4656

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

7736 169th St
Ste 1
Fresh Meadows, NY 11366
Phone (718) 878-4656

15031 Union Tpke
Kew Gardens Hills, NY 11367
Phone (347) 454-2050

80 Maiden Ln
Rm 905
New York, NY 10038
Phone (212) 404-8070

40 E 10th St
Ste 1W
New York, NY 10003
Phone (212) 344-9524

80 Maiden Ln
Ste 905C
New York, NY 10038
Phone (212) 404-8080

Networks

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

Organizations & group practices 7

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 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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1750545307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-36 169 STREET 1ST FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-878-4656",
            "fax_number": "718-889-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-36 169 STREET 1ST FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-878-4656",
            "fax_number": "718-889-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIMOV",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "244768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.