NPIMap

Individual provider Active NPI

Igor Khelemsky, MD

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1962431148
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
196963 Issued in NY
Practice address
2310 65TH St
Brooklyn, NY 11204-4088
Phone
(718) 376-3200
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 196963 NY Primary

Addresses

Primary practice location

2310 65TH St
Brooklyn, NY 11204-4088

Mailing address

1041 Arcadian Way
Fort Lee, NJ 07024-6349
Phone (718) 376-3200

Other identifiers 2

IdentifierTypeStateIssuer
6774300MedicaidNJ
01591322MedicaidNY

Other names 1

  • Mr. Igor Khelemsky Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070817000082 NY Practitioner - Neurology 2062406564 Reassigns benefits to 3 organizations
I20110121000666 NJ Practitioner - Neurology 2062406564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahava Medical and Rehabilitation Center, LLCGroup PAC ID 1557416997, 150 clinicians
All Neurological Services PCGroup PAC ID 7517858319, 3 clinicians

Practice addresses (Care Compare)

16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102

2310 65TH St
Suite 1
Brooklyn, NY 11204-4089
Phone (718) 376-3200

596 Anderson Ave
Suite 105
Cliffside Park, NJ 07010-1856
Phone (201) 943-6464

9709 64TH Rd
Rego Park, NY 11374-2241
Phone (718) 376-3200

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196963NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SK Neurology PC Neurology CurrentSince Nov 17, 2019 Accepting new patients
All Neurological Services PC CurrentSince Nov 3, 1995 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Nov 1, 2016 Accepting new patients
All Neurological Services PC Past Accepting new patients
All Neurological Services PC Past Accepting new patients
All Neurological Services PC Past Accepting new patients

Locations

596 Anderson Ave
Ste 105
Cliffside Pk, NJ 07010
Phone (201) 943-6464

2814 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 469-7363

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2310 65th St
Ste 1
Brooklyn, NY 11204
Phone (718) 232-6969

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

9709 64th Rd
Rego Park, NY 11374
Phone (718) 376-3200

Networks

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

Interoperability endpoints

  • Direct secure messaging: igk9008@direct.nyp.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1962431148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ARCADIAN WAY",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246349",
            "telephone_number": "718-376-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044088",
            "telephone_number": "718-376-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHELEMSKY",
        "first_name": "IGOR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "196963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6774300",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01591322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IGOR",
            "last_name": "KHELEMSKY",
            "prefix": "MR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.