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

Dr. Khalida Itriyeva, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1245523513

Dr. Khalida Itriyeva, MD is a Pediatric Medicine in New Hyde Park, New York. Graduated from Tufts University School of Medicine in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
Tufts University School of Medicine
Licensed in
NY
In the registry since
2011
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

410 Lakeville Rd Ste 108
New Hyde Park, NY 11042
Phone: (516) 465-3270
Fax: (516) 465-5299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 266549 (NY)

Record details

NPI number1245523513
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2011
Last updated in NPPESAugust 30, 2018

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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