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ULYANA KHALDAROV MD
NPI 1366580367
Psychiatry & Neurology - Psychiatry in Fresh Meadows, NY

Active since February 02, 2007PECOS Enrolled
19615 75TH AVE, FRESH MEADOWS, NY 11366(718) 969-4454 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ulyana Khaldarov Md NPPES

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

ULYANA KHALDAROV MD (NPI 1366580367) is an individual psychiatry provider in Fresh Meadows, New York, licensed in New York (245939) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366580367
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameULYANA KHALDAROVCredential: MD
Location Address19615 75TH AVEFresh Meadows, NY 11366-1813
Mailing Address19615 75th AveFresh Meadows, NY 11366-1813 · (718) 969-4454
Phone(718) 969-4454
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJune 14, 2010
✔ NPI 1366580367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 245939
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
19615 75TH AVE, Fresh Meadows, NY 11366
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ulyana Khaldarov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignments

2

Medicare enrollment records show Ulyana Khaldarov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden Medical Consulting PLLC
Same address
Psychiatry
19615 75TH AVE
Fresh Meadows, NY 11366
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1487444386 (718) 969-4454
Long Island Consultation Center, Inc.
4.9 mi
Clinical
9131 QUEENS BLVD STE 222
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 50 clinicians in this Medicare group
NPI 1295878577 (718) 896-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11366 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
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 2

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

GARDEN MEDICAL CONSULTING PLLC
Psychiatry & Neurology (Psychiatry)
19615 75TH AVE
FRESH MEADOWS, NY 11366
Queens County (718) 969-4454
VITALIY KHALDAROV M.D.
Psychiatry & Neurology (Psychiatry)
19615 75TH AVE
FLUSHING, NY 11366
Queens County (917) 816-4597

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 Ulyana Khaldarov's NPI number?

The NPI number for Ulyana Khaldarov is 1366580367. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Ulyana Khaldarov located?

Ulyana Khaldarov practices at 19615 75th Ave, Fresh Meadows, NY 11366. The listed phone number is (718) 969-4454.

What is Ulyana Khaldarov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ulyana Khaldarov enrolled in Medicare?

Yes. Ulyana Khaldarov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ulyana Khaldarov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ulyana Khaldarov reassigns Medicare benefits to 2 organizations: Garden Medical Consulting PLLC (Fresh Meadows, NY) and Long Island Consultation Center, Inc. (Elmhurst, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ulyana Khaldarov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ulyana Khaldarov was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.