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RAFAEL KHAIM NP
NPI 1306048665
Nurse Practitioner in New York, NY

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
1425 MADISON AVE, NEW YORK, NY 10029(212) 659-8086 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Khaim Np NPPES

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

RAFAEL KHAIM NP (NPI 1306048665) is an individual nurse practitioner in New York, New York, licensed in New York (F304417-1) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1306048665
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRAFAEL KHAIMCredential: NP
Location Address1425 MADISON AVENew York, NY 10029-6514
Mailing Address15339 77th AveFlushing, NY 11367-3127 · (646) 483-6947
Phone(212) 659-8086
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 31, 2007
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1306048665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F304417-1
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1425 MADISON AVE, New York, NY 10029
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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

Rafael Khaim Np 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 ID8022187194
PECOS Enrollment IDI20080515000019
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.

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.

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.
190 services52 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.
16 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
2 suppliers98 claims196 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers75 claims75 services$1.07 avg. paid by Medicare
Home blood glucose monitor E0607
DME-Other DME · category DE017N
2 suppliers18 claims18 services$46.03 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers75 claims42,150 services$1.19 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
39 suppliers2,173 claims459,597 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers712 claims220,376 services$0.01 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 20

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

DR. ASHER BRIAN SIMON M.D.
Psychiatry & Neurology (Psychiatry)
1425 MADISON AVE, 4-52
NEW YORK, NY 10029
New York County (212) 659-9114
CLINICAL PATHOLOGY ASSOCIATES
Pathology (Anatomic Pathology & Clinical Pathology)
1425 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-2905
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Psychiatry & Neurology (Addiction Medicine)
1425 MADISON AVE
NEW YORK, NY 10029
New York County (212) 987-3100
DR. NATACHA TARDIO M.D.
Student in an Organized Health Care Education/Training Program
1425 MADISON AVE, 6TH FLOOR (PEDIATRIC ALLERGY DEPARTMENT)
NEW YORK, NY 10029
New York County (212) 241-5548
MARIAM KHALIL RAHMAN PH.D.
Psychologist
1425 MADISON AVE
NEW YORK, NY 10029
New York County (212) 659-8752
ALYSSA RAE KAHN MD
Psychiatry & Neurology (Psychiatry)
1425 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARIA S LOIZOS PH.D.
Psychologist (Clinical)
1425 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-5680
DR. JOSEPH TRIPODI PHD
Specialist/Technologist, Other (Geneticist, Medical (PhD))
1425 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8801

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 Rafael Khaim's NPI number?

The NPI number for Rafael Khaim is 1306048665. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Rafael Khaim located?

Rafael Khaim practices at 1425 Madison Ave, New York, NY 10029. The listed phone number is (212) 659-8086.

What is Rafael Khaim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rafael Khaim enrolled in Medicare?

Yes. Rafael Khaim 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 Rafael Khaim affiliated with any hospitals?

According to CMS data, Rafael Khaim is affiliated with Mount Sinai Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for Rafael Khaim was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.