MR. AHATJON JURABOEV M.D., M.P.H.
NPI 1568027787
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVENUE, BROOKLYN, NY 11203(718) 270-4232(718) 270-3840 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2023, Jul 9, 2021, May 2, 2019 (3 updates tracked since 2019).

About Mr. Ahatjon Juraboev M.d., M.p.h. NPPES

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

MR. AHATJON JURABOEV M.D., M.P.H. (NPI 1568027787) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1568027787
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. AHATJON JURABOEVCredential: M.D., M.P.H.
Location Address450 CLARKSON AVENUEBrooklyn, NY 11203-2098
Mailing Address450 Clarkson Avenue, Box 1213Brooklyn, NY 11203-2098 · (718) 270-4232 · Fax (718) 270-3840
Fax(718) 270-3840
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 2, 2019
Last NPPES UpdateJuly 9, 20213 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
NPI 1568027787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVENUE, Brooklyn, NY 11203

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

Mr. Ahatjon Juraboev M.d., M.p.h. 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 ID3375900624
PECOS Enrollment IDI20230601002022
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, OBSTETRICS AND GYNECOLOGY
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF INTERNAL MEDICINE
BROOKLYN, NY 11203
Pediatrics
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER, PEDIATRICS
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, ANESTHESIOLOGY DEPARTMENT
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF SURGERY
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE ( INTERNAL MEDICINE)
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 Ahatjon Juraboev's NPI number?

The NPI number for Ahatjon Juraboev is 1568027787. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Ahatjon Juraboev located?

Ahatjon Juraboev practices at 450 Clarkson Avenue, Brooklyn, NY 11203. The listed phone number is (718) 270-4232.

What is Ahatjon Juraboev's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ahatjon Juraboev enrolled in Medicare?

Yes. Ahatjon Juraboev 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 Ahatjon Juraboev affiliated with any hospitals?

According to CMS data, Ahatjon Juraboev is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Ahatjon Juraboev was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.