VLADIMIR A KOSTYURENKO
NPI 1710476155
Nurse Anesthetist, Certified Registered in Little Rock, AR

Q: What is Vladimir Kostyurenko's NPI number?

The NPI number for Vladimir Kostyurenko is 1710476155. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Q: What is Vladimir Kostyurenko's specialty?

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

Active since May 01, 2018Accepts Medicare Assignment

4301 W MARKHAM ST # 531, LITTLE ROCK, AR 72205(501) 686-8818(501) 526-7217 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Apr 3, 2024, Jan 19, 2023 and 4 more (7 updates tracked since 2018).

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About Vladimir A Kostyurenko NPPES

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

VLADIMIR A KOSTYURENKO (NPI 1710476155) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (C003256) and active in the NPI registry since May 2018. He is affiliated with Tampa General Hospital Brooksville, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710476155

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameVLADIMIR A KOSTYURENKO

Location Address4301 W MARKHAM ST # 531Little Rock, AR 72205-7101

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 812-7215 · Fax (501) 812-7207

Phone(501) 686-8818

Fax(501) 526-7217

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 1, 2018

Last NPPES UpdateNovember 20, 20257 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1710476155 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 AR · C003256✔ Licensed in FL · APRN11019502✔ Licensed in WA · AP61231826

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.

4301 W MARKHAM ST # 531, Little Rock, AR 72205

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Secondary Practice Locations 3

Location 1801 Cottage DrLittle Rock, AR 72205-5400 · Phone (501) 686-8818 · Fax (501) 526-7217

Location 21 Tampa General CirTampa, FL 33606-3571 · Phone (813) 844-7000

Location 31800 BYPASS ROADHEBER SPRINGS, AR 72543-9135 · Phone (501) 202-2093 · Fax (501) 202-6316

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vladimir A Kostyurenko 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 ID7416206537

PECOS Enrollment IDI20180823001040, I20220616001662

Areas of Expertise CMS Part B claims

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 x-ray on arteries 01924

Anesthesia for x-ray on arteries is a procedure to ensure comfort during imaging tests. A medicine is given to make you relaxed or sleep, minimizing any discomfort. It's typically used for invasive procedures to examine arteries for blockages or other issues.

25 services20 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital Brooksville

Acute Care Hospitals · Brooksville, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100071

Location17240 Cortez BlvdBrooksville, FL 34601 · Hernando County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

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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.

AMANDA MICHELLE FAUST

Student in an Organized Health Care Education/Training Program