BURKHO NISIMOVA PA
NPI 1023162666
Physician Assistant in Jamaica, NY

Q: What is Burkho Nisimova's NPI number?

The NPI number for Burkho Nisimova is 1023162666. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Burkho Nisimova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Burkho Nisimova was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment

180-05 HILLSIDE AVE, JAMAICA, NY 11432(718) 526-6300(718) 286-3863 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Burkho Nisimova Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURKHO NISIMOVA PA (NPI 1023162666) is an individual physician assistant in Jamaica, New York, licensed in New York (011578) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1023162666

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBURKHO NISIMOVACredential: PA

Location Address180-05 HILLSIDE AVEJamaica, NY 11432-4727

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 526-6300

Fax(718) 286-3863

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 22, 2007

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1023162666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 011578

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

180-05 HILLSIDE AVE, Jamaica, NY 11432

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Burkho Nisimova Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840623260

PECOS Enrollment IDI20191125002776

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

53 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE PATEL-PANNULLO MD

Internal Medicine