DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) – Psychiatry Physician, NPI 1265645154

DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) is a healthcare provider. based in Brooklyn, New York. specializing in PSYCHIATRY. They hold the professional credentials M.D., PH.D.. They hold a License No. 203948 (NY). The NPI Number for DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) is 1265645154

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. ISKANDER DERD ENIKEEV (M.D., PH.D.)
NPI
1265645154
Phone
(718) 331-3800
Address
6415 BAY PARKWAY
Enumeration Date
7 May 2007
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2126934010
Graduation Year
1980 (46 years ago)
PAC ID
6507754611
Group Practice PAC ID
9436040102
Professional Enrollment ID
I20080625000052
Address ID
NY100073756NE225XXBROA201
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,020 PSYCHIATRY in NY

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Provider Addresses for DR. ISKANDER DERD ENIKEEV (M.D., PH.D.)

  • 6415, Bay Parkway, Brooklyn, Kings County, New York, 11204, United States

    BROOKLYN, NY 11204

    Phone: (718) 331-3800

    Type: Location

  • 321, East 48th Street, Turtle Bay, Manhattan Community Board 6, Manhattan, New York County, New York, 10017, United States

    NEW YORK, NY 10017

    Phone: (718) 331-3800

    Type: Mailing

  • 7 CORBIN PL

    UNIT C1

    BROOKLYN, NY 112354801

    Phone: (718) 331-3800

    Fax: (718) 331-3387

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-10-02 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080625000052IPsychiatryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes430104$0
99214Established patient office or other outpatient visit, 30-39 minutes319102$0
90792Psychiatric diagnostic evaluation with medical services2222$0
View full utilization report →

Insurance plans in this area (ZIP 11204)

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Provider's Procedures

DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYNY90833Psychotherapy, 30 minutes with patient and/or family member1614

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436040102View full group profile
NameSpecialtyState
Physician AssistantNY
-NY
Nurse PractitionerNY
Clinical Social WorkerNY
Physician AssistantNY
Clinical Social WorkerNY
Clinical Social WorkerNY
Mental Health CounselorNY
Clinical PsychologistNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Can I verify DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) with an NPI only?
You can start verification with NPI 1265645154 for DR. ISKANDER DERD ENIKEEV (M.D., PH.D.), then check state licensing separately.
Does the file indicate DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) is practicing under active NPI?
Directory data currently reports DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) as active.
What taxonomy line describes DR. ISKANDER DERD ENIKEEV (M.D., PH.D.)?
For research purposes, treat DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) serve?
DR. ISKANDER DERD ENIKEEV (M.D., PH.D.)'s listing highlights Brooklyn, New York; more addresses can appear in NPPES.
Why does DR. ISKANDER DERD ENIKEEV (M.D., PH.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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