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

Dr. Dmitriy O. Khodorskiy, MD

Individual provider Internal Medicine Physician · NPI 1689803736

Dr. Dmitriy O. Khodorskiy, MD is a Gastroenterology in Mineola, New York. Qualified in 2008, 18 years ago. Practices with Triborough Gi PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in California, Connecticut and New York.

Years since qualifying
18
Licensed in
CA, CT, NY
In the registry since
2009
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

222 Station Plz N Ste 429
Mineola, NY 11501-3889
Phone: (516) 663-4623
Fax: (516) 663-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 265957 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence A132741 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 265957 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 054753 (CT)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 054753 (CT)
Gastroenterology Physician Taxonomy 207RG0100X · Licence A132741 (CA)

Record details

NPI number1689803736
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2009
Last updated in NPPESJune 6, 2017

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Triborough Gi Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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