Active NPI
Svetlana Khandros, M.D.,D.O.
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 228243
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228243 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBD Care LLC | Past | Accepting new patients | |
| Larisa Veksman D.O P.C | Past | Accepting new patients | |
| Prime Fitness Physical Therapy PC | Past | 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.
-
- Family Medicine Physician
- Bronx, NY
- NPI 1851848618
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1295131506
-
- Specialist
- Jamaica, NY
- NPI 1184866055
-
- Specialist
- Brooklyn, NY
- NPI 1942465091
-
- Clinic/Center
- Staten Island, NY
- NPI 1538042650
-
- Physical Therapist
- Brooklyn, NY
- NPI 1346421104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.