Individual provider Active NPI

Svetlana Khandros, M.D.,D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1871578872
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228243 Issued in NY
Practice address
2467 Ocean Ave
Suite C
Brooklyn, NY 11229-3969
Phone
(718) 676-1768
Fax
(718) 676-1770
NPI assigned
Dec 13, 2005
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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 228243 NY Primary

Addresses

Primary practice location

2467 Ocean Ave
Suite C
Brooklyn, NY 11229-3969

Mailing address

2467 Ocean Ave
Suite C
Brooklyn, NY 11229-3969
Phone (718) 676-1768

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
I20040326000961 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0345132080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unicare Medical PCGroup PAC ID 6002969748, 3 clinicians
KS Medical, PCGroup PAC ID 7618291683, 3 clinicians
Wellcare of BX Medical PCGroup PAC ID 5890040166, 5 clinicians

Practice addresses (Care Compare)

13912 84TH Dr
Jamaica, NY 11435-1826
Phone (718) 297-3333

1721 86TH St
Brooklyn, NY 11214-2817
Phone (718) 331-6064

2336 Grand Concourse
Bronx, NY 10458-6903
Phone (718) 220-0439

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228243NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MBD Care LLC PastSince Apr 28, 2021 Accepting new patients
Larisa Veksman D.O P.C Past Accepting new patients
Prime Fitness Physical Therapy PC PastSince Nov 1, 2007 Accepting new patients

Networks

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

Organizations & group practices 6

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1871578872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 OCEAN AVE",
            "address_2": "SUITE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293969",
            "telephone_number": "718-676-1768",
            "fax_number": "718-676-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 OCEAN AVE",
            "address_2": "SUITE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293969",
            "telephone_number": "718-676-1768",
            "fax_number": "718-676-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDROS",
        "first_name": "SVETLANA",
        "credential": "M.D.,D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.