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RAFAEL AVEZBAKIYEV PA
NPI 1922148493
Physician Assistant in Kew Gardens, NY

Active since February 07, 2007PECOS Enrolled
12219 METROPOLITAN AVE, KEW GARDENS, NY 11415(718) 877-5263 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rafael Avezbakiyev Pa NPPES

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

RAFAEL AVEZBAKIYEV PA (NPI 1922148493) is an individual physician assistant in Kew Gardens, New York, licensed in New York (010942) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922148493
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRAFAEL AVEZBAKIYEVCredential: PA
Location Address12219 METROPOLITAN AVEKew Gardens, NY 11415-2708
Mailing Address12219 Metropolitan AveKew Gardens, NY 11415-2708 · (718) 877-5263
Phone(718) 877-5263
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1922148493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 010942
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12219 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)

Rafael Avezbakiyev Pa 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.

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
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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 Rafael Avezbakiyev's NPI number?

The NPI number for Rafael Avezbakiyev is 1922148493. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Rafael Avezbakiyev located?

Rafael Avezbakiyev practices at 12219 Metropolitan Ave, Kew Gardens, NY 11415. The listed phone number is (718) 877-5263.

What is Rafael Avezbakiyev's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rafael Avezbakiyev enrolled in Medicare?

Yes. Rafael Avezbakiyev is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rafael Avezbakiyev was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.