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MIRIAM SAMEKHOVA
NPI 1659144186
Nurse Practitioner - Family in Kew Gardens, NY

Active since November 06, 2023PECOS Enrolled
11956 METROPOLITAN AVE, KEW GARDENS, NY 11415(347) 730-8201(929) 335-2526 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Nov 6, 2023 (2 updates tracked since 2023).

About Miriam Samekhova NPPES

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

MIRIAM SAMEKHOVA (NPI 1659144186) is an individual family provider in Kew Gardens, New York, licensed in New York (352774) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659144186
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRIAM SAMEKHOVA
Location Address11956 METROPOLITAN AVEKew Gardens, NY 11415-2606
Mailing Address8542 116th StRichmond Hill, NY 11418-1711 · (347) 730-8201
Phone(347) 730-8201
Fax(929) 335-2526
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2023
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1659144186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 352774
11956 METROPOLITAN AVE, Kew Gardens, NY 11415
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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 (PECOS)

Miriam Samekhova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173976255
PECOS Enrollment IDI20240124004036
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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
552 services147 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
410 services92 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
78 services73 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
50 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services31 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11415 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
$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 4

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

MR. ARTIN SAKHAEE DDS.
Dentist (General Practice)
11956 METROPOLITAN AVE
KEW GARDENS, NY 11415
Queens County (718) 441-2291
SEPID DENTAL CARE P.C.
Dentist (General Practice)
11956 METROPOLITAN AVE
KEW GARDENS, NY 11415
Queens County (718) 441-2291
DANIEL AVEZOFF DDS
Dentist
11956 METROPOLITAN AVE
KEW GARDENS, NY 11415
Queens County (718) 441-2291
DR. ALEXANDRA AMES DDS
Dentist
11956 METROPOLITAN AVE
KEW GARDENS, NY 11415
Queens County (718) 441-2291

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 Miriam Samekhova's NPI number?

The NPI number for Miriam Samekhova is 1659144186. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Miriam Samekhova located?

Miriam Samekhova practices at 11956 Metropolitan Ave, Kew Gardens, NY 11415. The listed phone number is (347) 730-8201.

What is Miriam Samekhova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miriam Samekhova enrolled in Medicare?

Yes. Miriam Samekhova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miriam Samekhova was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.