MRS. TETYANA O KOVALENKO M.D.
NPI 1174705719
Pediatrics in Sacramento, CA

Q: What is Tetyana Kovalenko's NPI number?

The NPI number for Tetyana Kovalenko is 1174705719. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Q: What is Tetyana Kovalenko's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tetyana Kovalenko was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since December 05, 2007PECOS Enrolled

3000 Q ST, SACRAMENTO, CA 95816(916) 733-3305(916) 733-3337 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Tetyana O Kovalenko M.d. NPPES

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

MRS. TETYANA O KOVALENKO M.D. (NPI 1174705719) is an individual pediatrics provider in Sacramento, California, licensed in California (A127147) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174705719

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. TETYANA O KOVALENKOCredential: M.D.

Location Address3000 Q STSacramento, CA 95816-7058

Mailing Address3400 Data Dr, Physician Support ServicesRancho Cordova, CA 95670-7956

Phone(916) 733-3305

Fax(916) 733-3337

Sole ProprietorNo

Enumeration DateDecember 5, 2007

Last NPPES UpdateJuly 18, 2014

✔ NPI 1174705719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A127147✔ Licensed in OH · 35-094528

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3000 Q ST, Sacramento, CA 95816

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tetyana O Kovalenko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Tetyana Kovalenko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dignity Health Medical Foundation

Same address

Multi-Specialty

3000 Q ST
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
1,191 clinicians in this Medicare group

NPI 1700803418 (916) 733-3397

Valley Children's Medical Group

68 mi

Pediatrics

1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Valley Childrens Medical Group
387 clinicians in this Medicare group

NPI 1437555265 (559) 353-5010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 20

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

PATRICK RICHARDS MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-3346

DONALD A. MILES M.D.

Family Medicine

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-3333

DR. DIANNE ILENE MITCHELL DPM

Podiatrist (Foot & Ankle Surgery)

3000 Q ST, 4TH FLOOR PODIATRY
SACRAMENTO, CA 95816

Sacramento County (916) 733-3359

RUSSELL E. NILES M.D.

Obstetrics & Gynecology (Gynecology)

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-5336

ANA BELA OLIVEIRA NP-C

Nurse Practitioner (Adult Health)

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-3344

TOMMY J. POIRIER M.D.

Internal Medicine (Gastroenterology)

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-5336

SHEFALI SHAH M.D.

Internal Medicine

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-3400

SOROUR RAHGOSHAY MD

Internal Medicine (Geriatric Medicine)

3000 Q ST
SACRAMENTO, CA 95816

Sacramento County (916) 733-3460

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 Tetyana Kovalenko's NPI number?

The NPI number for Tetyana Kovalenko is 1174705719. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Tetyana Kovalenko located?

Tetyana Kovalenko practices at 3000 Q St, Sacramento, CA 95816. The listed phone number is (916) 733-3305.

What is Tetyana Kovalenko's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tetyana Kovalenko enrolled in Medicare?

Yes. Tetyana Kovalenko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tetyana Kovalenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tetyana Kovalenko reassigns Medicare benefits to 2 organizations: Dignity Health Medical Foundation (Sacramento, CA) and Valley Children's Medical Group (Modesto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tetyana Kovalenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tetyana Kovalenko was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.