MRS. IRINA KHOLODNY R-PAC
NPI 1255519617
Physician Assistant in Massapequa, NY

Active since February 07, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
585 BROADWAY, MASSAPEQUA, NY 11758(516) 797-2146(516) 797-0190 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Irina Kholodny R-pac NPPES

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

MRS. IRINA KHOLODNY R-PAC (NPI 1255519617) is an individual physician assistant in Massapequa, New York, licensed in New York (0064151) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255519617
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. IRINA KHOLODNYCredential: R-PAC
Location Address585 BROADWAYMassapequa, NY 11758
Mailing Address585 BroadwayMassapequa, NY 11758 · (516) 797-2146 · Fax (516) 797-0190
Fax(516) 797-0190
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 7, 2008
Last NPPES UpdateJuly 11, 2008
NPI 1255519617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 0064151 Licensed in NY · 006415
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.

585 BROADWAY, Massapequa, NY 11758

Other Names 1

Former Name (1)Ms. Irina Basova Rpa-c

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

Mrs. Irina Kholodny R-pac 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 ID6507941143
PECOS Enrollment IDI20080306000721
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.

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11758 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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

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.

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
1 supplier21 claims21 services$61.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$31.85 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 11

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

Internal Medicine (Gastroenterology)
585 BROADWAY, BROADWAY INTERNAL MEDICINE ASSOCIATES
MASSAPEQUA, NY 11758
Internal Medicine (Rheumatology)
585 BROADWAY
MASSAPEQUA, NY 11758
Physician Assistant
585 BROADWAY
MASSAPEQUA, NY 11758
Internal Medicine
585 BROADWAY
MASSAPEQUA, NY 11758
Clinic/Center (Ambulatory Surgical)
585 BROADWAY
MASSAPEQUA, NY 11758
Clinic/Center (Ambulatory Surgical)
585 BROADWAY
MASSAPEQUA, NY 11758
Clinic/Center
585 BROADWAY
MASSAPEQUA, NY 11758
Ophthalmology
585 BROADWAY
MASSAPEQUA, NY 11758

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 Irina Kholodny's NPI number?

The NPI number for Irina Kholodny is 1255519617. It was assigned to this individual provider in the NPPES registry on February 7, 2008. The provider is also known as Ms. Irina Basova Rpa-C.

Where is Irina Kholodny located?

Irina Kholodny practices at 585 Broadway, Massapequa, NY 11758. The listed phone number is (516) 797-2146.

What is Irina Kholodny's specialty?

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

Is Irina Kholodny enrolled in Medicare?

Yes. Irina Kholodny 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.

Is Irina Kholodny affiliated with any hospitals?

According to CMS data, Irina Kholodny is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Irina Kholodny was last updated on July 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.