Michael Khaham, D.O., RPH

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

246571 Issued in NY

Practice address

585 Schenectady Ave
Anesthesia Dept.
Brooklyn, NY 11203-1851

Phone

(718) 604-5207

Fax

(718) 604-5571

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

New York College of Osteo Medicine of New York Institute of Technology, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MK Anesthesia Services PLLCGroup PAC ID 1557758307, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• MK Anesthesia Services PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1922751254
  Medicare reassignment Care Compare group NPD Authorized official
• Intercity Gastroenterology P.C

  • Gastroenterology Physician
  • Fresh Meadows, NY
  • NPI 1346779501
  Medicare reassignment NPD
• Triborough Gi PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1255711339
  Medicare reassignment NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD
• Triborough Gi PLLC

  • Clinical Medical Laboratory
  • Brooklyn, NY
  • NPI 1932820339
  NPD
• New Day Medical PC

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1396131272
  NPD (past)
• Newtown Gastroenterology PC

  • Gastroenterology Physician
  • Elmhurst, NY
  • NPI 1134868045
  NPD (past)
• Tri City Medical PC

  • Gastroenterology Physician
  • Woodside, NY
  • NPI 1639824816
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1790985596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR.",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SCHENECTADY AVE",
            "address_2": "ANESTHESIA DEPT.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031851",
            "telephone_number": "718-604-5207",
            "fax_number": "718-604-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAHAM",
        "first_name": "MICHAEL",
        "credential": "D.O., RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047086",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "246571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03224297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dmitriy Khafizov
• Alesia Khafizova
• Alina Khafizova
• Anzhelika Khafizova, RPA-C
• Zarrina Khafizova
• Alena Khaimchayev, LMSW
• Aleksandr Khaimov, PHARM. D
• Avner Khaimov, PHARM.D
• Danny Khaimov
• Irina Khaimov, SLP

• Anesthesiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.