Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NURLAN DAVLETALINOV
NPI 1124905179
Family Medicine in Norton, VA

Active since August 20, 2025PECOS Enrolled
96 15TH ST. NE, SUITE 104, NORTON, VA 24273(276) 679-0321(276) 439-1872 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nurlan Davletalinov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NURLAN DAVLETALINOV (NPI 1124905179) is an individual family medicine provider in Norton, Virginia, licensed in Virginia (0116041733) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124905179
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNURLAN DAVLETALINOV
Location Address96 15TH ST. NE, SUITE 104Norton, VA 24273
Mailing Address4414 47th Ave Apt C2Woodside, NY 11377-6115 · (516) 800-6882
Fax(276) 439-1872
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2025
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1124905179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0116041733
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License P137752 (NY)
96 15TH ST. NE, Norton, VA 24273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nurlan Davletalinov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224539705
PECOS Enrollment IDI20250827002539
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
96 15TH ST. NE, SUITE 104
NORTON, VA 24273
Family Medicine
96 15TH ST. NE, SUITE 104
NORTON, VA 24273
Student in an Organized Health Care Education/Training Program
96 15TH ST. NE, SUITE 104
NORTON, VA 24273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nurlan Davletalinov's NPI number?

The NPI number for Nurlan Davletalinov is 1124905179. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Nurlan Davletalinov located?

Nurlan Davletalinov practices at 96 15th St. NE Suite 104, Norton, VA 24273. The listed phone number is (276) 679-0321.

What is Nurlan Davletalinov's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nurlan Davletalinov enrolled in Medicare?

Yes. Nurlan Davletalinov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nurlan Davletalinov was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.