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KHAIRI SHMINA MD
NPI 1205275674
Internal Medicine in Bronx, NY

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment
4422 3RD AVE, DEPT OF INTERNAL MEDICINE, BRONX, NY 10457(718) 960-6202(718) 960-3486 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khairi Shmina Md NPPES

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

KHAIRI SHMINA MD (NPI 1205275674) is an individual internal medicine provider in Bronx, New York, licensed in Ohio (35.128321) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205275674
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKHAIRI SHMINACredential: MD
Location Address4422 3RD AVE, DEPT OF INTERNAL MEDICINEBronx, NY 10457-2545
Mailing Address4422 3rd Ave, Dept Of Internal MedicineBronx, NY 10457-2545 · (718) 960-6202 · Fax (718) 960-3486
Phone(718) 960-6202
Fax(718) 960-3486
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 19, 2013
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1205275674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.128321
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4422 3RD AVE, Bronx, NY 10457
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

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

Khairi Shmina Md 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 ID9830487693
PECOS Enrollment IDI20161011000736
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
421 services133 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
213 services111 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
105 services98 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%101 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$14.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$62.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

NAI LI D.O.
Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
ADERINOLA OMONIYI PHARMD
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6179
CATHERINE AKRAM TAWFIK DO
Dermatology
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6649
VALENTYNA OLINCHUK MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6211
DUSAY SALIH MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
KATHLEEN DIMAGGIO CNM, NP
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9415
DR. ROBERT ADLAI MENKEL M.D.
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
DEEPIKA KURUP
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khairi Shmina's NPI number?

The NPI number for Khairi Shmina is 1205275674. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Khairi Shmina located?

Khairi Shmina practices at 4422 3rd Ave Dept Of Internal Medicine, Bronx, NY 10457. The listed phone number is (718) 960-6202.

What is Khairi Shmina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Khairi Shmina enrolled in Medicare?

Yes. Khairi Shmina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Khairi Shmina accept?

Health plans from CareSource and Oscar Health Insurance list Khairi Shmina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Khairi Shmina affiliated with any hospitals?

According to CMS data, Khairi Shmina is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Khairi Shmina was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.