DR. KSENIA N TONYUSHKINA MD
NPI 1316130941
Pediatrics - Pediatric Endocrinology in Cleveland, OH
About Dr. Ksenia N Tonyushkina Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KSENIA N TONYUSHKINA MD (NPI 1316130941) is an individual pediatric endocrinology provider in Cleveland, Ohio, licensed in Ohio (35.145257) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ksenia N Tonyushkina Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ksenia Tonyushkina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
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 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Ksenia Tonyushkina's NPI number?
The NPI number for Ksenia Tonyushkina is 1316130941. It was assigned to this individual provider in the NPPES registry on August 27, 2007.
Where is Ksenia Tonyushkina located?
Ksenia Tonyushkina practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3661.
What is Ksenia Tonyushkina's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Ksenia Tonyushkina enrolled in Medicare?
Yes. Ksenia Tonyushkina 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.
Which organization bills Medicare for Ksenia Tonyushkina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ksenia Tonyushkina reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The 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 Ksenia Tonyushkina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ksenia Tonyushkina accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Ksenia Tonyushkina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ksenia Tonyushkina was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Dr. Ksenia N Tonyushkina, MD · NPI 1316130941
Pediatric Endocrinology physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since August 27, 2007.
## Identity
- **NPI:** 1316130941 (Entity type: Individual)
- **Enumerated:** August 27, 2007
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** 35.145257 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106-1716
- **Phone:** (216) 844-3661 · **Fax:** (216) 844-8900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1316130941) · Data from the CMS NPPES public registry.