MRS. NIKA KHODORKOVSKY CCC-SLP
NPI 1912241027
Speech-Language Pathologist in New York, NY

Active since November 15, 2012Accepts Medicare Assignment
91.25/100
CMS Quality Rating
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2736 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Nika Khodorkovsky Ccc-slp NPPES

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

MRS. NIKA KHODORKOVSKY CCC-SLP (NPI 1912241027) is an individual speech-language pathologist provider in New York, New York, licensed in New York (014019-1) and active in the NPI registry since November 2012. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1912241027
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. NIKA KHODORKOVSKYCredential: CCC-SLP
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address227 W End AveBrooklyn, NY 11235-4903 · (718) 975-7081
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 15, 2012
✔ NPI 1912241027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 014019-1
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
100 E 77TH ST, New York, NY 10075

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

Mrs. Nika Khodorkovsky Ccc-slp 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 ID6002054533
PECOS Enrollment IDI20130523000002

Medicare Billing Reassignment

Medicare enrollment records show Nika Khodorkovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
972 BRUSH HOLLOW RD, 5TH FLOOR FINANCE - ATTENTION WILLIAM J. FUCHS
Westbury, NY 11590
  • Reassigned Medicare billing, New York enrollment
  • 42 clinicians in this Medicare group

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

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Nika Khodorkovsky's NPI number?

The NPI number for Nika Khodorkovsky is 1912241027. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Nika Khodorkovsky located?

Nika Khodorkovsky practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2736.

What is Nika Khodorkovsky's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nika Khodorkovsky enrolled in Medicare?

Yes. Nika Khodorkovsky 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 organization bills Medicare for Nika Khodorkovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nika Khodorkovsky reassigns Medicare benefits to Lenox Hill Hospital Medical, PC (Westbury, NY). The 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 Nika Khodorkovsky'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 Nika Khodorkovsky was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.