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 with the weekly NPPES data releases published by CMS.

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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.