DABAKAROV FAMILY HEALTH NURSE PRACTITIONER PC
NPI 1467142133
Clinic/Center in Fresh Meadows, NY
About Dabakarov Family Health Nurse Practitioner Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DABAKAROV FAMILY HEALTH NURSE PRACTITIONER PC (NPI 1467142133) is a healthcare organization registered as a clinic/center in Fresh Meadows, New York and active in the NPI registry since May 2023. The organization lists Vyacheslav Dabakarov, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dabakarov Family Health Nurse Practitioner Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dabakarov Family Health Nurse Practitioner PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dabakarov Family Health Nurse Practitioner PC's NPI number?
The NPI number for Dabakarov Family Health Nurse Practitioner PC is 1467142133. It was assigned to this organization in the NPPES registry on May 8, 2023.
Where is Dabakarov Family Health Nurse Practitioner PC located?
Dabakarov Family Health Nurse Practitioner PC is located at 7315 194th St, Fresh Meadows, NY 11366. The listed phone number is (347) 684-6605.
What is Dabakarov Family Health Nurse Practitioner PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Dabakarov Family Health Nurse Practitioner PC enrolled in Medicare?
Yes. Dabakarov Family Health Nurse Practitioner PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dabakarov Family Health Nurse Practitioner PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dabakarov Family Health Nurse Practitioner PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dabakarov Family Health Nurse Practitioner PC was last updated on May 8, 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.
# Dabakarov Family Health Nurse Practitioner Pc · NPI 1467142133
Clinic/Center organization in Fresh Meadows, New York. Organization record, active in the CMS NPPES registry since May 8, 2023.
## Identity
- **NPI:** 1467142133 (Entity type: Organization)
- **Enumerated:** May 8, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Vyacheslav Dabakarov, OWNER
## Practice location
- **Address:** 7315 194TH ST, Fresh Meadows, NY 11366-1835
- **Phone:** (347) 684-6605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1467142133) · Data from the CMS NPPES public registry.