Timur Kitaev, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in New Hyde Park, New York. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pacific Valley Medical Group, Cep America - Anesthesia Pc, North Shore - Lij Anesthesiology, Pc and his current practice location is
27005 76th Ave, New Hyde Park, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 470-7000.
Timur Kitaev is licensed to practice in * (Not Available) (license number ) 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 1346829983.
Provider's Profile
| Full Name | Timur Kitaev |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 27005 76th Ave, New Hyde Park, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timur Kitaev graduated from nursing school in 2021
NPI Data:
- NPI Number: 1346829983
- Provider Enumeration Date: 04/02/2021
- Last Update Date: 12/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204230493
- Enrollment ID: I20251219000595
Medical Identifiers
Medical identifiers for Timur Kitaev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346829983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95001928 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 132272 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pacific Valley Medical Group | 3577465368 | 105 |
| Cep America - Anesthesia Pc | 3678897915 | 849 |
| North Shore - Lij Anesthesiology, Pc | 1153602453 | 1010 |
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. Timur Kitaev 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 Address | Practice Location Address |
|---|
Timur Kitaev,
1832 Winona Blvd Apt 4,
Los Angeles, CA 90027-3875
Ph: (646) 549-6429 | Timur Kitaev,
27005 76th Ave,
New Hyde Park, NY 11040-1402
Ph: (718) 470-7000 |
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