ALEXANDRA KHANYUTIN
NPI 1225458607
Psychiatry & Neurology - Psychiatry in Newark, NJ
About Alexandra Khanyutin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA KHANYUTIN (NPI 1225458607) is an individual psychiatry provider in Newark, New Jersey, licensed in New Jersey (25MA10126000) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexandra Khanyutin 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.
Medicare Billing Reassignments
5Medicare enrollment records show Alexandra Khanyutin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- 22 clinicians in this Medicare group
New York, NY 10075
- Reassigned Medicare billing, New York enrollment
- 530 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Raritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEWARK, NJ 07103
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 Alexandra Khanyutin's NPI number?
The NPI number for Alexandra Khanyutin is 1225458607. It was assigned to this individual provider in the NPPES registry on April 23, 2014.
Where is Alexandra Khanyutin located?
Alexandra Khanyutin practices at 183 S Orange Ave Bhsb, E-1452, Newark, NJ 07103. The listed phone number is (973) 972-4678.
What is Alexandra Khanyutin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Alexandra Khanyutin enrolled in Medicare?
Yes. Alexandra Khanyutin 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.
Which organizations bill Medicare for Alexandra Khanyutin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Khanyutin reassigns Medicare benefits to 5 organizations: Nyc Psychiatric Associates (New York, NY), Physicians Of University Hospital, PC (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Khanyutin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alexandra Khanyutin affiliated with any hospitals?
According to CMS data, Alexandra Khanyutin is affiliated with Raritan Bay Medical Center.
When was this NPI record last updated?
The NPPES record for Alexandra Khanyutin was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alexandra Khanyutin · NPI 1225458607
Psychiatry physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 23, 2014.
## Identity
- **NPI:** 1225458607 (Entity type: Individual)
- **Enumerated:** April 23, 2014
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 25MA10126000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 183 S ORANGE AVE, BHSB, E-1452, Newark, NJ 07103-2757
- **Phone:** (973) 972-4678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Nyc Psychiatric Associates (NPI 1447850276, New York, NY); Physicians Of University Hospital, PC (NPI 1992200075, New York, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225458607) · Data from the CMS NPPES public registry.