NPIMap

Individual provider Active NPI

Ariel Khanimov, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1922530013
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
307779 Issued in NY
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone
(872) 231-3162
Fax
(312) 635-0050
NPI assigned
Mar 29, 2017
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61590 TN
Internal Medicine Physician 207R00000X 307779 NY Primary

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1436

Mailing address

PO Box 7411009
Chicago, IL 60674-3009
Phone (872) 231-3162

Other practice location 1

585 Schenectady Ave
Brooklyn, NY 11203-1822
Phone (718) 604-5000

Other identifiers 1

IdentifierTypeStateIssuer
06519126MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY, KY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200911002616 TN Practitioner - Internal MedicinePractitioner - Hospitalist 8729406434 Reassigns benefits to 3 organizations
I20210614001475 NY Practitioner - Internal Medicine 8729406434 Reassigns benefits to 2 organizations
I20250310002449 KY Practitioner - Internal Medicine 8729406434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Pepper Branch Physician Services PCGroup PAC ID 4385006758, 25 clinicians
West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
BLDG Suite303
Louisville, KY 40202-1831
Phone (502) 629-5552

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (609) 585-1122

401 Sewell Dr
Sparta, TN 38583-1223
Phone (931) 738-9211

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Dec 21, 2021 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Dec 21, 2021 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Feb 11, 2025 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Aug 1, 2020 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Feb 11, 2025 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

Organizations & group practices 10

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1922530013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009",
            "telephone_number": "872-231-3162",
            "fax_number": "312-635-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "872-231-3162",
            "fax_number": "312-635-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Schenectady Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112031822",
            "country_code": "US",
            "telephone_number": "718-604-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANIMOV",
        "first_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "61590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "307779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06519126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.