RENA KHANUKAYEVA
NPI 1255358164
Family Medicine in Staten Island, NY

Active since July 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D1025136 · Waiver
36.04/100
CMS Quality Rating
34 DUMONT AVE, STATEN ISLAND, NY 10305(718) 980-3232(718) 980-3233 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rena Khanukayeva NPPES

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

RENA KHANUKAYEVA (NPI 1255358164) is an individual family medicine provider in Staten Island, New York, licensed in New York (212257) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 29, 2028, and is affiliated with Staten Island University Hospital.

NPPES Registry Identity

NPI1255358164
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRENA KHANUKAYEVA
Location Address34 DUMONT AVEStaten Island, NY 10305-1450
Mailing Address34 Dumont AveStaten Island, NY 10305-1450 · (718) 980-3232 · Fax (718) 980-3233
Fax(718) 980-3233
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1997
Enumeration DateJuly 16, 2006
Last NPPES UpdateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
NPI 1255358164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 212257
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

34 DUMONT AVE, Staten Island, NY 10305

Other Identifiers 1

Medicaid02010997NY

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

Rena Khanukayeva 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 ID4880688662
PECOS Enrollment IDI20040413001886
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1025136

Rena Khanukayera Do · Staten Island, NY
Active · expires Apr 29, 2028
CLIA Number33D1025136
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorDr. Rena Khanukayera
Laboratory Phone(718) 667-0297
Laboratory LocationRena Khanukayera Do34 Dumont Ave, Staten Island, NY 10305
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

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.

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.
3,791 services451 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
621 services333 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
271 services85 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
221 services60 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
169 services143 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
127 services21 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

36.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost71.32

Referred Medical Equipment & Supplies CMS DME claims 25

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
44 suppliers207 claims413 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
36 suppliers112 claims133 services$1.06 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$6.05 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$6.62 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims96 services$2.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.00 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

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

Nurse Practitioner (Family)
34 DUMONT AVE
STATEN ISLAND, NY 10305

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 Rena Khanukayeva's NPI number?

The NPI number for Rena Khanukayeva is 1255358164. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Rena Khanukayeva located?

Rena Khanukayeva practices at 34 Dumont Ave, Staten Island, NY 10305. The listed phone number is (718) 980-3232.

What is Rena Khanukayeva's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rena Khanukayeva enrolled in Medicare?

Yes. Rena Khanukayeva 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.

Does Rena Khanukayeva hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1025136) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rena Khanukayeva affiliated with any hospitals?

According to CMS data, Rena Khanukayeva is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Rena Khanukayeva was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.