Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Demis Khaimov

Individual provider Physician Assistant · NPI 1538598693

Demis Khaimov is a Physician Assistant in Flushing, New York. Qualified in 2013, 13 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

14136 73rd Ave
Flushing, NY 11367-2320
Phone: (347) 556-5670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017124-1 (NY)

Record details

NPI number1538598693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2013
Last updated in NPPESNovember 8, 2013
Mailing address14136 73rd Ave, Flushing, NY 11367-2320

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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