Dr Dmitriy O Khodorskiy, MD - Medicare Gastroenterology in Mineola, NY

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Dr Dmitriy O Khodorskiy, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Mineola, New York. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Triborough Gi Pllc and his current practice location is 222 Station Plz N Ste 429, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-4623.

Dr Dmitriy O Khodorskiy is licensed to practice in New York (license number 265957) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689803736.

Contact Information

Dr Dmitriy O Khodorskiy, MD
222 Station Plz N Ste 429,
Mineola, NY 11501-3889
(516) 663-4623
(516) 663-8500

Map and Direction




Physician's Profile

Full NameDr Dmitriy O Khodorskiy
GenderMale
SpecialityGastroenterology
Experience18 Years
Location222 Station Plz N Ste 429, Mineola, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dmitriy O Khodorskiy graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1689803736
  • Provider Enumeration Date: 07/10/2009
  • Last Update Date: 06/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3274781927
  • Enrollment ID: I20120921000188

Medical Identifiers

Medical identifiers for Dr Dmitriy O Khodorskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689803736NPI-NPPES
03530641MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A132741 (California)Secondary
207R00000XInternal Medicine 265957 (New York)Secondary
207R00000XInternal Medicine 054753 (Connecticut)Secondary
207RG0100XInternal Medicine - Gastroenterology 054753 (Connecticut)Secondary
207RG0100XInternal Medicine - Gastroenterology A132741 (California)Secondary
207RG0100XInternal Medicine - Gastroenterology 265957 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Triborough Gi Pllc246676153121

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dmitriy O Khodorskiy allows following entities to bill medicare on his behalf.
Entity NameMaimonides Medical Center Mmc Gastroenterology Fpp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932216660
PECOS PAC ID: 4981595055
Enrollment ID: O20040320000522
Entity NameMaimonides Medical Center Maimonides Primary Care Fpp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013968593
PECOS PAC ID: 5991696916
Enrollment ID: O20040322000161
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameWinthrop Community Medical Affiliates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457873077
PECOS PAC ID: 5698092385
Enrollment ID: O20150317001669
Entity NameTriborough Gi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255711339
PECOS PAC ID: 2466761531
Enrollment ID: O20151013000806
Entity NameChinatown True Care Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912567884
PECOS PAC ID: 2163859760
Enrollment ID: O20200220000904

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dmitriy O Khodorskiy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dmitriy O Khodorskiy, MD
222 Station Plz N Ste 429,
Mineola, NY 11501-3889

Ph: (516) 663-4623		Dr Dmitriy O Khodorskiy, MD
222 Station Plz N Ste 429,
Mineola, NY 11501-3889

Ph: (516) 663-4623

Reviews and Comments


Internal Medicine Doctors in Mineola, NY

Shivanu Dhawan, MD
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Practice Location: 259 1st St Rm 291, Mineola, NY 11501
Phone: 516-663-8963    Fax: 516-663-8964
Dr. Marlene Martins Lobato, MD
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Practice Location: 173 Mineola Blvd, Suite 403, Mineola, NY 11501
Phone: 516-741-8891    Fax: 516-741-8829
Michael Garrison, M.D.
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Practice Location: 200 Old Country Rd, Suite 450, Mineola, NY 11501
Phone: 516-663-9500    Fax: 516-663-4613
Dr. Anupama Ananda, M.D.
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Practice Location: 190 Willis Ave, Suite 210, Mineola, NY 11501
Phone: 516-739-7290    Fax: 516-793-7291
Mr. Jeffrey Liu, MD
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Practice Location: 297 Mineola Blvd, Mineola, NY 11501
Phone: 516-294-1377    Fax: 516-294-5574
Dr. Jonathan Shulman, D.O.
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Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2381    
John I Hogan, MD
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Practice Location: 222 Station Plz N Ste 432, Mineola, NY 11501
Phone: 516-663-2507    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.