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SHOIRAKHON BAKIEVA M.D.
NPI 1649626029
Internal Medicine in Corona, NY

Active since May 04, 2016PECOS Enrolled
10205 NORTHERN BLVD, CORONA, NY 11368(718) 500-3672(718) 433-9277 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2022, Feb 16, 2021, Oct 8, 2019 (3 updates tracked since 2019).

About Shoirakhon Bakieva M.d. NPPES

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

SHOIRAKHON BAKIEVA M.D. (NPI 1649626029) is an individual internal medicine provider in Corona, New York, licensed in New York (300963) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1649626029
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHOIRAKHON BAKIEVACredential: M.D.
Location Address10205 NORTHERN BLVDCorona, NY 11368-5392
Mailing Address10205 Northern BlvdCorona, NY 11368-5392 · (347) 249-5873 · Fax (718) 433-9277
Phone(718) 500-3672
Fax(718) 433-9277
Sole ProprietorNo
Enumeration DateMay 4, 2016
Last NPPES UpdateMarch 7, 20223 updates tracked since enumeration
NPPES CertifiedMarch 5, 2022
✔ NPI 1649626029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 300963✔ Licensed in CT · 63585
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10205 NORTHERN BLVD, Corona, NY 11368
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Other Names 1

Former Name (1)Shoirakhon Gazieva M.d.

Secondary Practice Location 1

Location 12044 Ocean Ave Ste A1Brooklyn, NY 11230-7328 · Phone (718) 400-8963 · Fax (347) 464-0712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoirakhon Bakieva M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Shoirakhon Bakieva reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Future Medical PC
Same address
Primary Care
10205 NORTHERN BLVD
Corona, NY 11368
  • Reassigned Medicare billing, New York enrollment
NPI 1457017261 (347) 420-0242
Coney Island Medical Practice Plan, P.C.
13 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354
Starling Physicians, PLLC
83 mi
Radiology, Mammography
300 KENSINGTON AVE, STARLING PHYSICIANS
New Britain, CT 06051
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1720182991 (860) 224-6222

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 11368 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 2

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

FUTURE MEDICAL PC
Clinic/Center (Primary Care)
10205 NORTHERN BLVD
CORONA, NY 11368
Queens County (347) 420-0242
AVENTURA CHIROPRACTIC PC
Chiropractor
10205 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 500-3672

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 Shoirakhon Bakieva's NPI number?

The NPI number for Shoirakhon Bakieva is 1649626029. It was assigned to this individual provider in the NPPES registry on May 4, 2016. The provider is also known as Shoirakhon Gazieva M.D..

Where is Shoirakhon Bakieva located?

Shoirakhon Bakieva practices at 10205 Northern Blvd, Corona, NY 11368. The listed phone number is (718) 500-3672.

What is Shoirakhon Bakieva's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shoirakhon Bakieva enrolled in Medicare?

Yes. Shoirakhon Bakieva is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shoirakhon Bakieva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shoirakhon Bakieva reassigns Medicare benefits to 3 organizations: Future Medical PC (Corona, NY), Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and Starling Physicians, PLLC (New Britain, CT). 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 Shoirakhon Bakieva'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 Shoirakhon Bakieva was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.