KSENYA SHLIAKHTSITSAVA M.D.
NPI 1225338718
Pediatrics - Pediatric Hematology-Oncology in San Diego, CA

Q: What is Ksenya Shliakhtsitsava's NPI number?

The NPI number for Ksenya Shliakhtsitsava is 1225338718. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Q: What is Ksenya Shliakhtsitsava's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Active since October 29, 2010PECOS Enrolled

74.59/100

CMS Quality Rating

3010 CHILDRENS WAY, 2-WEST, SAN DIEGO, CA 92123(858) 966-5811 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2018, Sep 29, 2015 (2 updates tracked since 2015).

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About Ksenya Shliakhtsitsava M.d. NPPES

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

KSENYA SHLIAKHTSITSAVA M.D. (NPI 1225338718) is an individual pediatric hematology-oncology provider in San Diego, California, licensed in Texas (R8483) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225338718

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameKSENYA SHLIAKHTSITSAVACredential: M.D.

Location Address3010 CHILDRENS WAY, 2-WESTSan Diego, CA 92123

Mailing Address5323 Harry Hines Blvd # Mc9063Dallas, TX 75390-7208 · (214) 648-3896

Phone(858) 966-5811

Sole ProprietorNo

Enumeration DateOctober 29, 2010

Last NPPES UpdateAugust 31, 20182 updates tracked since enumeration

✔ NPI 1225338718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in TX · R8483

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License A125300 (CA)

3010 CHILDRENS WAY, San Diego, CA 92123

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ksenya Shliakhtsitsava 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

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.

DR. KATHERINE N. NYMAN MD

Pediatrics (Neonatal-Perinatal Medicine)