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MICHAEL ISKHAKOV
NPI 1568152106
Nurse Practitioner in Bronx, NY

Active since May 08, 2023PECOS EnrolledAccepts Medicare Assignment
1644 EASTCHESTER RD, BRONX, NY 10461(917) 445-9119 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2023, May 8, 2023 (2 updates tracked since 2023).

About Michael Iskhakov NPPES

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

MICHAEL ISKHAKOV (NPI 1568152106) is an individual nurse practitioner in Bronx, New York, licensed in New York (F351627-01) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1568152106
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL ISKHAKOV
Location Address1644 EASTCHESTER RDBronx, NY 10461-2316
Mailing Address1017 147th StWhitestone, NY 11357-1711 · (917) 445-9119
Phone(917) 445-9119
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 8, 2023
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1568152106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F351627-01
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1644 EASTCHESTER RD, Bronx, NY 10461
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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 and accepts Medicare assignment

Michael Iskhakov 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 ID2860833548
PECOS Enrollment IDI20240513001263
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 Reassignments

2

Medicare enrollment records show Michael Iskhakov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prominis Medical Services PC
12 mi
Internal Medicine
332 DEKALB AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1841323771 (718) 852-5252
Timothy D. Groth MD PC
31 mi
Multi-Specialty
994 W JERICHO TPKE, SUITE104
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 48 clinicians in this Medicare group
NPI 1720022015 (631) 543-1440

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 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Michael Iskhakov's NPI number?

The NPI number for Michael Iskhakov is 1568152106. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Michael Iskhakov located?

Michael Iskhakov practices at 1644 Eastchester Rd, Bronx, NY 10461. The listed phone number is (917) 445-9119.

What is Michael Iskhakov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michael Iskhakov enrolled in Medicare?

Yes. Michael Iskhakov 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 Michael Iskhakov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Iskhakov reassigns Medicare benefits to 2 organizations: Prominis Medical Services PC (Brooklyn, NY) and Timothy D. Groth MD PC (Smithtown, 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 Michael Iskhakov'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 Michael Iskhakov was last updated on June 1, 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.