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DR. KSENIYA ROUDAKOVA M.D.
NPI 1497191142
Surgery in Brooklyn, NY

Active since May 21, 2013PECOS Enrolled
451 CLARKSON AVE., KINGS COUNTY HOSPITAL, BROOKLYN, NY 11203(718) 245-4729 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kseniya Roudakova M.d. NPPES

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

DR. KSENIYA ROUDAKOVA M.D. (NPI 1497191142) is an individual surgery provider in Brooklyn, New York, licensed in New York (286549) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497191142
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KSENIYA ROUDAKOVACredential: M.D.
Location Address451 CLARKSON AVE., KINGS COUNTY HOSPITALBrooklyn, NY 11203
Mailing Address451 Clarkson Ave., Department Of SurgeryBrooklyn, NY 11203 · (718) 245-4729
Phone(718) 245-4729
Sole ProprietorNo
Enumeration DateMay 21, 2013
Last NPPES UpdateJune 17, 2019
✔ NPI 1497191142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 286549
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.
451 CLARKSON AVE., Brooklyn, NY 11203
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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)

Dr. Kseniya Roudakova 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 11203 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JUDY D THOMAS LMHC
Counselor (Mental Health)
451 CLARKSON AVE., 'N' BLDG. ROOM 104
BROOKLYN, NY 11203
Kings County (718) 245-4967

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 Kseniya Roudakova's NPI number?

The NPI number for Kseniya Roudakova is 1497191142. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Kseniya Roudakova located?

Kseniya Roudakova practices at 451 Clarkson Ave. Kings County Hospital, Brooklyn, NY 11203. The listed phone number is (718) 245-4729.

What is Kseniya Roudakova's specialty?

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

Is Kseniya Roudakova enrolled in Medicare?

Yes. Kseniya Roudakova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kseniya Roudakova was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.