ALEKSANDR KHUDYAKOV MD
NPI 1396240545
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Aleksandr Khudyakov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEKSANDR KHUDYAKOV MD (NPI 1396240545) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aleksandr Khudyakov Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Aleksandr Khudyakov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Brooklyn Health
Acute Care Hospitals · Brooklyn, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
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 Aleksandr Khudyakov's NPI number?
The NPI number for Aleksandr Khudyakov is 1396240545. It was assigned to this individual provider in the NPPES registry on March 29, 2018.
Where is Aleksandr Khudyakov located?
Aleksandr Khudyakov practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-2030.
What is Aleksandr Khudyakov's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Aleksandr Khudyakov enrolled in Medicare?
Yes. Aleksandr Khudyakov 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.
Which organizations bill Medicare for Aleksandr Khudyakov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aleksandr Khudyakov reassigns Medicare benefits to 2 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and Physician Affiliate Group Of New York PC (New York, 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 Aleksandr Khudyakov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Aleksandr Khudyakov affiliated with any hospitals?
According to CMS data, Aleksandr Khudyakov is affiliated with South Brooklyn Health.
When was this NPI record last updated?
The NPPES record for Aleksandr Khudyakov was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Aleksandr Khudyakov, MD · NPI 1396240545
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1396240545 (Entity type: Individual)
- **Enumerated:** March 29, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE, Brooklyn, NY 11203
- **Phone:** (718) 270-2030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1396240545) · Data from the CMS NPPES public registry.