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DEMIS KHAIMOV
NPI 1538598693
Physician Assistant in Flushing, NY

Active since November 08, 2013PECOS EnrolledAccepts Medicare Assignment
14136 73RD AVE, FLUSHING, NY 11367(347) 556-5670 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Demis Khaimov NPPES

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

DEMIS KHAIMOV (NPI 1538598693) is an individual physician assistant in Flushing, New York, licensed in New York (017124-1) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1538598693
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEMIS KHAIMOV
Location Address14136 73RD AVEFlushing, NY 11367-2320
Mailing Address14136 73rd AveFlushing, NY 11367-2320 · (347) 556-5670
Phone(347) 556-5670
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 8, 2013
✔ NPI 1538598693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 017124-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14136 73RD AVE, Flushing, NY 11367
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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

Demis Khaimov 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 ID6406086354
PECOS Enrollment IDI20140220001315
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.

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11367 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
$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.

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 Demis Khaimov's NPI number?

The NPI number for Demis Khaimov is 1538598693. It was assigned to this individual provider in the NPPES registry on November 8, 2013.

Where is Demis Khaimov located?

Demis Khaimov practices at 14136 73rd Ave, Flushing, NY 11367. The listed phone number is (347) 556-5670.

What is Demis Khaimov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Demis Khaimov enrolled in Medicare?

Yes. Demis Khaimov 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 Demis Khaimov affiliated with any hospitals?

According to CMS data, Demis Khaimov is affiliated with North Shore University Hospital and Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Demis Khaimov was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.