1. Home
  2. Directory
  3. New York
  4. Mineola
  5. Internal Medicine
  6. NPI Profile

DR. DMITRIY O. KHODORSKIY M.D.
NPI 1689803736
Internal Medicine - Gastroenterology in Mineola, NY

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
222 STATION PLZ N STE 429, MINEOLA, NY 11501(516) 663-4623(516) 663-8500 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2017, Jan 13, 2016 (2 updates tracked since 2016).

About Dr. Dmitriy O. Khodorskiy M.d. NPPES

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

DR. DMITRIY O. KHODORSKIY M.D. (NPI 1689803736) is an individual gastroenterology provider in Mineola, New York, licensed in New York (265957) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with New York Community Hospital Of Brooklyn, Inc., and is a graduate of Other (2008).

NPPES Registry Identity

NPI1689803736
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DMITRIY O. KHODORSKIYCredential: M.D.
Location Address222 STATION PLZ N STE 429Mineola, NY 11501-3889
Mailing Address222 Station Plz N Ste 429Mineola, NY 11501-3889 · (516) 663-4623 · Fax (516) 663-8500
Phone(516) 663-4623
Fax(516) 663-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 10, 2009
Last NPPES UpdateJune 6, 20172 updates tracked since enumeration
✔ NPI 1689803736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NY · 265957✔ Licensed in CT · 054753✔ Licensed in CA · A132741
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 054753 (CT), 265957 (NY), A132741 (CA)
222 STATION PLZ N STE 429, Mineola, NY 11501
Open in Google Maps ↗

Other Identifiers 1

Medicaid03530641NY

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

Dr. Dmitriy O. Khodorskiy M.d. 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 ID3274781927
PECOS Enrollment IDI20120921000188
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 10

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.

Infusion into a vein for hydration, 31-60 minutes 96360
This is a procedure where a sterile solution is administered into your vein to help restore body fluid balance. It typically lasts between 31-60 minutes. It's a safe, common treatment for dehydration or to deliver medication.
58 services42 patients
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.
58 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services23 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services24 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

New York Community Hospital Of Brooklyn, Inc.

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330019
Location2525 Kings HighwayBrooklyn, NY 11229 · Kings County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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 Dmitriy Khodorskiy's NPI number?

The NPI number for Dmitriy Khodorskiy is 1689803736. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Dmitriy Khodorskiy located?

Dmitriy Khodorskiy practices at 222 Station Plz N Ste 429, Mineola, NY 11501. The listed phone number is (516) 663-4623.

What is Dmitriy Khodorskiy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dmitriy Khodorskiy enrolled in Medicare?

Yes. Dmitriy Khodorskiy 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 Dmitriy Khodorskiy affiliated with any hospitals?

According to CMS data, Dmitriy Khodorskiy is affiliated with New York Community Hospital Of Brooklyn, Inc..

When was this NPI record last updated?

The NPPES record for Dmitriy Khodorskiy was last updated on June 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.