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KSENIA KOLTUN M.D.
NPI 1609161231
Anesthesiology in Troy, MI

Active since June 11, 2011PECOS Enrolled
86.01/100
CMS Quality Rating
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-5000 Get Directions Write a Review

NPPES record last updated: March 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2023, Aug 24, 2020 (2 updates tracked since 2020).

About Ksenia Koltun M.d. NPPES

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

KSENIA KOLTUN M.D. (NPI 1609161231) is an individual anesthesiology provider in Troy, Michigan, licensed in Michigan (4301503468) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609161231
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKSENIA KOLTUNCredential: M.D.
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address3810 Carriage RdBloomfield Hills, MI 48301-1900 · (847) 208-8818
Phone(248) 964-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 11, 2011
Last NPPES UpdateMarch 18, 20232 updates tracked since enumeration
NPPES CertifiedMarch 18, 2023
✔ NPI 1609161231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in MI · 4301503468✔ Licensed in OK · 31106✔ Licensed in MI · 4301098662
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
44201 DEQUINDRE RD, Troy, MI 48085
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Ksenia Koltun Stark M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ksenia Koltun M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092947945
PECOS Enrollment IDI20210325001141
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 Billing Reassignments

3

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

Medical Directors Consultants Plc
9.8 mi
Anesthesiology
359 ENTERPRISE CT
Bloomfield Hills, MI 48302
  • Reassigned Medicare billing, Michigan enrollment
  • 27 clinicians in this Medicare group
NPI 1245121177 (248) 220-7505
Affiliated Anesthesiologists, LLC
916 mi
Anesthesiology
13321 N MERIDIAN AVE, SUITE 402
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 60 clinicians in this Medicare group
NPI 1710214267 (405) 755-1080
Northstar Anesthesia Of Michigan III PLLC
1,011 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
31 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services26 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
16 services16 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
12 services12 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

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.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

HARINI ERUPAKA REDDY M.D.
Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-1007
JOSLEEN ALBISHARA
Pharmacist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
STEPHANIE ANNE DAVENPORT PAC
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
KRISTEN M LIGHT DNP, RN, AGPCNP-BC
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
ELLEN O MCGUIRE
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
SAMANTHA GRACE HENDERSON PA-C
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
DAVID DONALDSON
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Oakland County (248) 964-8787
SHARON LINDOW
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000

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 Koltun's NPI number?

The NPI number for Ksenia Koltun is 1609161231. It was assigned to this individual provider in the NPPES registry on June 11, 2011. The provider is also known as Miss Ksenia Koltun Stark M.D..

Where is Ksenia Koltun located?

Ksenia Koltun practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-5000.

What is Ksenia Koltun's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ksenia Koltun enrolled in Medicare?

Yes. Ksenia Koltun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ksenia Koltun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ksenia Koltun reassigns Medicare benefits to 3 organizations: Medical Directors Consultants Plc (Bloomfield Hills, MI), Affiliated Anesthesiologists, LLC (Oklahoma City, OK) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Ksenia Koltun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ksenia Koltun accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Ksenia Koltun 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.

Is Ksenia Koltun affiliated with any hospitals?

According to CMS data, Ksenia Koltun is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Ksenia Koltun was last updated on March 18, 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.