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SVETLANA PROKHOROVA M.D.
NPI 1396754107
Pediatrics in Rego Park, NY

Active since August 08, 2006PECOS Enrolled
9817 QUEENS BOULEVARD, LL2, REGO PARK, NY 11374(718) 275-5600(718) 275-5608 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Svetlana Prokhorova M.d. NPPES

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

SVETLANA PROKHOROVA M.D. (NPI 1396754107) is an individual pediatrics provider in Rego Park, New York, licensed in New York (223288) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396754107
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSVETLANA PROKHOROVACredential: M.D.
Location Address9817 QUEENS BOULEVARD, LL2Rego Park, NY 11374-3336
Mailing Address9817 Queens Boulevard, Ll2Rego Park, NY 11374-3336 · (718) 275-5600 · Fax (718) 275-5608
Phone(718) 275-5600
Fax(718) 275-5608
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 1, 2011
✔ NPI 1396754107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 223288
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9817 QUEENS BOULEVARD, Rego Park, NY 11374
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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)

Svetlana Prokhorova M.d. 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 Reassignment

Medicare enrollment records show Svetlana Prokhorova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prokhorov's Pediatrics And Child Neurology PC
Same address
Pediatrics
9817 QUEENS BLVD, LL2
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1104132778 (718) 275-5600

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 11374 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES

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

SERGEY PROKHOROV MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9817 QUEENS BOULEVARD, LL2
REGO PARK, NY 11374
Queens County (718) 275-5600

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 Svetlana Prokhorova's NPI number?

The NPI number for Svetlana Prokhorova is 1396754107. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Svetlana Prokhorova located?

Svetlana Prokhorova practices at 9817 Queens Boulevard Ll2, Rego Park, NY 11374. The listed phone number is (718) 275-5600.

What is Svetlana Prokhorova's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Svetlana Prokhorova enrolled in Medicare?

Yes. Svetlana Prokhorova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Svetlana Prokhorova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Svetlana Prokhorova reassigns Medicare benefits to Prokhorov's Pediatrics And Child Neurology PC (Rego Park, NY). The 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 Svetlana Prokhorova'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 Svetlana Prokhorova was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.