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DR. KARINA FATAKHOVA M.D.
NPI 1811429343
Internal Medicine - Gastroenterology in Port Jefferson, NY

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
70 N COUNTRY RD STE 101, PORT JEFFERSON, NY 11777(631) 978-7700 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Mar 18, 2021 (2 updates tracked since 2021).

About Dr. Karina Fatakhova M.d. NPPES

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

DR. KARINA FATAKHOVA M.D. (NPI 1811429343) is an individual gastroenterology provider in Port Jefferson, New York, licensed in New York (306049-01) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811429343
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KARINA FATAKHOVACredential: M.D.
Location Address70 N COUNTRY RD STE 101Port Jefferson, NY 11777-2161
Mailing Address70 N Country Rd Ste 101Port Jefferson, NY 11777-2161 · (631) 978-7700
Phone(631) 978-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 3, 2017
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1811429343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 306049-01
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.
70 N COUNTRY RD STE 101, Port Jefferson, NY 11777
Open in Google Maps ↗

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

Dr. Karina Fatakhova 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 ID9537413802
PECOS Enrollment IDI20201023000130
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

4

Medicare enrollment records show Karina Fatakhova reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harbor View Medical Services PC
Same address
Surgery
70 N COUNTRY RD STE 102
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1306631742 (New York)
  • 68 clinicians in this Medicare group
NPI 1215571450 (631) 938-6999
North Shore Hematology Oncology Associates PC
1.7 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000
Maimonides Faculty Practice Plan
54 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Maimonides Medical Center Maimonides Primary Care Fpp
54 mi
Internal Medicine
1250 57TH ST
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 85 clinicians in this Medicare group
NPI 1013968593 (718) 283-7732

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
23 services23 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services12 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. NICK N PATEL D.O.
Internal Medicine (Pulmonary Disease)
70 N COUNTRY RD STE 101
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-0037

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 Karina Fatakhova's NPI number?

The NPI number for Karina Fatakhova is 1811429343. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Karina Fatakhova located?

Karina Fatakhova practices at 70 N Country Rd Ste 101, Port Jefferson, NY 11777. The listed phone number is (631) 978-7700.

What is Karina Fatakhova's specialty?

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

Is Karina Fatakhova enrolled in Medicare?

Yes. Karina Fatakhova 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 Karina Fatakhova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karina Fatakhova reassigns Medicare benefits to 4 organizations: Harbor View Medical Services PC (Port Jefferson, NY), North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY), Maimonides Faculty Practice Plan (Brooklyn, NY) and Maimonides Medical Center Maimonides Primary Care Fpp (Brooklyn, 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 Karina Fatakhova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Karina Fatakhova affiliated with any hospitals?

According to CMS data, Karina Fatakhova is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Karina Fatakhova was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.