Individual provider Active NPI

Galina Khelemsky, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1780772681
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207972 Issued in NY
Practice address
1636 E 14TH St Ste 123
Brooklyn, NY 11229-1100
Phone
(718) 375-9090
Fax
(718) 375-6618
NPI assigned
Oct 10, 2006
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207972 NY Primary

Addresses

Primary practice location

1636 E 14TH St Ste 123
Brooklyn, NY 11229-1100

Mailing address

1636 E 14TH St Ste 1231
Brooklyn, NY 11229-1190
Phone (718) 375-9090

Other identifiers 1

IdentifierTypeStateIssuer
01775020MedicaidNY

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
I20090430000585 NY Practitioner - Family Practice 9335297332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1636 E 14TH St
Suite 123
Brooklyn, NY 11229-1100
Phone (718) 375-9090

National Provider Directory

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

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1780772681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E 14TH ST STE 1231",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291190",
            "telephone_number": "718-375-9090",
            "fax_number": "718-375-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E 14TH ST STE 123",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291100",
            "telephone_number": "718-375-9090",
            "fax_number": "718-375-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHELEMSKY",
        "first_name": "GALINA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "207972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01775020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.