1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

NIKOLAY DUDUMOV CRNA
NPI 1467945295
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since June 06, 2018Accepts Medicare Assignment
1300 N VERMONT AVE, LOS ANGELES, CA 90027(213) 413-3000(323) 666-2939 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2023, Oct 1, 2020 (2 updates tracked since 2020).

About Nikolay Dudumov Crna NPPES

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

NIKOLAY DUDUMOV CRNA (NPI 1467945295) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95001647) and active in the NPI registry since June 2018. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1467945295
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNIKOLAY DUDUMOVCredential: CRNA
Location Address1300 N VERMONT AVELos Angeles, CA 90027-6098
Mailing AddressPo Box 25033Santa Ana, CA 92799-5033 · (714) 347-1000 · Fax (714) 347-1082
Phone(213) 413-3000
Fax(323) 666-2939
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 6, 2018
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1467945295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in CA · 95001647✔ Licensed in ME · RNA203074
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1300 N VERMONT AVE, Los Angeles, CA 90027
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Nikolay Dudumov Crna 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 ID6305258120
PECOS Enrollment IDI20220308000755

Medicare Billing Reassignments

3

Medicare enrollment records show Nikolay Dudumov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hp Anesthesia Inc
Same address
Anesthesiology
1300 N VERMONT AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1992133474 (213) 413-3000
Landmark Anesthesia Medical Group
12 mi
Anesthesiology
3630 E IMPERIAL HWY
Lynwood, CA 90262
  • Reassigned Medicare billing, California enrollment
  • 83 clinicians in this Medicare group
NPI 1770035024 (714) 503-0195
Anesthesia Associates Of Southern California PC
35 mi
Anesthesiology
1001 N TUSTIN AVE
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
NPI 1437013836 (914) 491-9495

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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

ANOOSHEH NIKKAR PA-C
Physician Assistant (Surgical)
1300 N VERMONT AVE, #1006
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2169
DR. RALPH WATCHI MD
Pediatrics
1300 N VERMONT AVE, SUITE 901
LOS ANGELES, CA 90027
Los Angeles County (323) 912-9221
DR. RAM KUMAR SHARMA M.D.
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (213) 413-3000
DR. SUNG HWAN KIM M.D.
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (213) 413-3000
DR. CHRISTINA SOUTHER MARTIN MD
Surgery
1300 N VERMONT AVE, #704
LOS ANGELES, CA 90027
Los Angeles County (310) 526-0290
ERNEST JAMES RIN MD
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (213) 413-3000
HOLLYWOOD EMERGENCY PHYSICIANS
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (323) 913-4892
DR. DALLAS COTTAM M.D.
Emergency Medicine
1300 N VERMONT AVE, SUITE 403 DOCTORS TOWER
LOS ANGELES, CA 90027
Los Angeles County (323) 644-1300

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 Nikolay Dudumov's NPI number?

The NPI number for Nikolay Dudumov is 1467945295. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Nikolay Dudumov located?

Nikolay Dudumov practices at 1300 N Vermont Ave, Los Angeles, CA 90027. The listed phone number is (213) 413-3000.

What is Nikolay Dudumov's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nikolay Dudumov enrolled in Medicare?

Yes. Nikolay Dudumov 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 organizations bill Medicare for Nikolay Dudumov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolay Dudumov reassigns Medicare benefits to 3 organizations: Hp Anesthesia Inc (Los Angeles, CA), Landmark Anesthesia Medical Group (Lynwood, CA) and Anesthesia Associates Of Southern California PC (Santa Ana, 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 Nikolay Dudumov'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 Nikolay Dudumov was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.