MR. ALBERT KHANIMOV RPA-C
NPI 1255570826
Physician Assistant - Surgical in Rego Park, NY

Active since February 05, 2009PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
9701 66TH AVE, REGO PARK, NY 11374(718) 423-0808 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Albert Khanimov Rpa-c NPPES

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

MR. ALBERT KHANIMOV RPA-C (NPI 1255570826) is an individual surgical provider in Rego Park, New York, licensed in New York (012445) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1255570826
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ALBERT KHANIMOVCredential: RPA-C
Location Address9701 66TH AVERego Park, NY 11374-4245
Mailing Address9701 66th AveRego Park, NY 11374-4245
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 5, 2009
Last NPPES UpdateJune 5, 2023
NPPES CertifiedJune 5, 2023
NPI 1255570826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 012445
9701 66TH AVE, Rego Park, NY 11374

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

Mr. Albert Khanimov Rpa-c 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 ID5991132508
PECOS Enrollment IDI20200220001429
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
9701 66TH AVE
REGO PARK, NY 11374
Counselor (Mental Health)
9701 66TH AVE
REGO PARK, NY 11374
Anesthesiology (Pain Medicine)
9701 66TH AVE
REGO PARK, NY 11374
Internal Medicine
9701 66TH AVE
REGO PARK, NY 11374
Psychiatry & Neurology (Psychiatry)
9701 66TH AVE
REGO PARK, NY 11374
Counselor
9701 66TH AVE
REGO PARK, NY 11374
Clinic/Center (Pain)
9701 66TH AVE
REGO PARK, NY 11374
Physical Medicine & Rehabilitation
9701 66TH AVE
REGO PARK, NY 11374

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 Albert Khanimov's NPI number?

The NPI number for Albert Khanimov is 1255570826. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Albert Khanimov located?

Albert Khanimov practices at 9701 66th Ave, Rego Park, NY 11374. The listed phone number is (718) 423-0808.

What is Albert Khanimov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Albert Khanimov enrolled in Medicare?

Yes. Albert Khanimov 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 Albert Khanimov was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.