TETYANA KOULIKOVA PHYSICIAN ASSISTANT
NPI 1174992184
Surgery in Brooklyn, NY

Q: What is Tetyana Koulikova's NPI number?

The NPI number for Tetyana Koulikova is 1174992184. It was assigned to this individual provider in the NPPES registry on September 20, 2015.

Q: What is Tetyana Koulikova's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tetyana Koulikova was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 20, 2015PECOS EnrolledAccepts Medicare Assignment

2272 63RD ST APT 2F, BROOKLYN, NY 11204(929) 441-0536 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tetyana Koulikova Physician Assistant NPPES

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

TETYANA KOULIKOVA PHYSICIAN ASSISTANT (NPI 1174992184) is an individual surgery provider in Brooklyn, New York, licensed in New York (019051) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174992184

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameTETYANA KOULIKOVACredential: PHYSICIAN ASSISTANT

Location Address2272 63RD ST APT 2FBrooklyn, NY 11204-3153

Mailing Address2272 63rd St Apt 2fBrooklyn, NY 11204-3153 · (929) 441-0536

Phone(929) 441-0536

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 20, 2015

Last NPPES UpdateSeptember 3, 2019

✔ NPI 1174992184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 019051

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 019051 (NY)

Also ListedUrologyTaxonomy 208800000X · License 019051 (NY)

2272 63RD ST APT 2F, Brooklyn, NY 11204

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Secondary Practice Locations 2

Location 12525 Kings HwyBrooklyn, NY 11229-1705 · Phone (718) 692-5300

Location 23319 Kings Hwy Apt 1JBrooklyn, NY 11234-2622 · Phone (718) 676-4067 · Fax (718) 676-4068

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tetyana Koulikova Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739479817

PECOS Enrollment IDI20160601001966

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services17 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330196

Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11204 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Koulikova's NPI number?

The NPI number for Tetyana Koulikova is 1174992184. It was assigned to this individual provider in the NPPES registry on September 20, 2015.

Where is Tetyana Koulikova located?

Tetyana Koulikova practices at 2272 63rd St Apt 2F, Brooklyn, NY 11204. The listed phone number is (929) 441-0536.

What is Tetyana Koulikova's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tetyana Koulikova enrolled in Medicare?

Yes. Tetyana Koulikova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tetyana Koulikova affiliated with any hospitals?

According to CMS data, Tetyana Koulikova is affiliated with South Brooklyn Health.

When was this NPI record last updated?

The NPPES record for Tetyana Koulikova was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.