RENA KHANUKAYEVA D.O.,P.C.
NPI 1639370554
Clinic/Center in Staten Island, NY
About Rena Khanukayeva D.o.,p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENA KHANUKAYEVA D.O.,P.C. (NPI 1639370554) is a healthcare organization registered as a clinic/center in Staten Island, New York and active in the NPI registry since May 2007. The organization lists Rena Khanukayeva, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rena Khanukayeva D.o.,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Rena Khanukayeva D.O.,p.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Rena Khanukayeva D.O.,p.C.'s NPI number?
The NPI number for Rena Khanukayeva D.O.,p.C. is 1639370554. It was assigned to this organization in the NPPES registry on May 29, 2007.
Where is Rena Khanukayeva D.O.,p.C. located?
Rena Khanukayeva D.O.,p.C. is located at 2691 Hylan Blvd Suite # 5, Staten Island, NY 10306. The listed phone number is (718) 980-3232.
What is Rena Khanukayeva D.O.,p.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Rena Khanukayeva D.O.,p.C. enrolled in Medicare?
Yes. Rena Khanukayeva D.O.,p.C. is registered in the Medicare PECOS enrollment system.
When is Rena Khanukayeva D.O.,p.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rena Khanukayeva D.O.,p.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Rena Khanukayeva D.O.,p.C., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rena Khanukayeva D.O.,p.C. was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Rena Khanukayeva D.o.,p.c. · NPI 1639370554
Clinic/Center organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since May 29, 2007.
## Identity
- **NPI:** 1639370554 (Entity type: Organization)
- **Enumerated:** May 29, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Rena Khanukayeva, PRESIDENT
## Practice location
- **Address:** 2691 HYLAN BLVD, SUITE # 5, Staten Island, NY 10306-4300
- **Phone:** (718) 980-3232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2009
- **Other identifiers:** Medicare PIN WZYTQ1 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1639370554) · Data from the CMS NPPES public registry.