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DR. KHALIDA ITRIYEVA M.D.
NPI 1245523513
Pediatrics - Adolescent Medicine in New Hyde Park, NY

Active since May 19, 2011PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
410 LAKEVILLE RD STE 108, NEW HYDE PARK, NY 11042(516) 465-3270(516) 465-5299 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Khalida Itriyeva M.d. NPPES

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

DR. KHALIDA ITRIYEVA M.D. (NPI 1245523513) is an individual adolescent medicine provider in New Hyde Park, New York, licensed in New York (266549) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2011).

NPPES Registry Identity

NPI1245523513
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. KHALIDA ITRIYEVACredential: M.D.
Location Address410 LAKEVILLE RD STE 108New Hyde Park, NY 11042
Mailing Address10525 67th Rd Apt 5hForest Hills, NY 11375-2398 · (201) 207-1196
Phone(516) 465-3270
Fax(516) 465-5299
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2011
Enumeration DateMay 19, 2011
Last NPPES UpdateAugust 30, 2018
✔ NPI 1245523513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 266549
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
410 LAKEVILLE RD STE 108, New Hyde Park, NY 11042
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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

Dr. Khalida Itriyeva M.d. 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 ID4385900414
PECOS Enrollment IDI20171107000067
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

SHERRY ANN CAIOZZO NP
Nurse Practitioner (Family)
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377
DR. SONA DAVE M.D.
Pediatrics
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-3270
MS. VAIDEHI JOKHAKAR LCSW, MPH
Social Worker (Clinical)
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (718) 598-1367
DR. JASMINE MICHELLE BLAKE MD, MSPH
Pediatrics
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377
RICHARD WAI SUN CHEN MD
Student in an Organized Health Care Education/Training Program
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (718) 470-3622
LUISANA ELIZABETH TORRES MD
Pediatrics
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377
DR. GAIL DIANA GUTMAN MD
Pediatrics
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-3270
SANDEEP SANDHU MD
Pediatrics
410 LAKEVILLE RD STE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377

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 Khalida Itriyeva's NPI number?

The NPI number for Khalida Itriyeva is 1245523513. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Khalida Itriyeva located?

Khalida Itriyeva practices at 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042. The listed phone number is (516) 465-3270.

What is Khalida Itriyeva's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Khalida Itriyeva enrolled in Medicare?

Yes. Khalida Itriyeva 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.

When was this NPI record last updated?

The NPPES record for Khalida Itriyeva was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.