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

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: October 25, 2026.

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

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
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

Secondary Practice Locations 3

Location 1801 Cottage DrLittle Rock, AR 72205-5400 · Phone (501) 686-8818 · Fax (501) 526-7217
Location 21800 BYPASS ROADHEBER SPRINGS, AR 72543-9135 · Phone (501) 202-2093 · Fax (501) 202-6316
Location 31 Tampa General CirTampa, FL 33606-3571 · Phone (813) 844-7000

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

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

Medicare Billing Reassignments

8

Medicare enrollment records show Vladimir Kostyurenko reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4301 W MARKHAM ST # 528
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1043372220 (Arkansas)
  • 1,246 clinicians in this Medicare group
Anesthesiology
1 SAINT VINCENT CIR STE 260
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 123 clinicians in this Medicare group
Family Medicine
2 ST. VINCENT CIRCLE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 288 clinicians in this Medicare group
Anesthesiology
9601 BAPTIST HEALTH DR
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 253 clinicians in this Medicare group
Anesthesiology
1 MEDICAL PARK DR
Benton, AR 72015
  • Reassigned Medicare billing, Arkansas enrollment
  • 182 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1001 SCHNEIDER DR
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • 13 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Arkansas enrollment
  • 232 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.

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.

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.

Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Orthopaedic Surgery
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Physical Medicine & Rehabilitation
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 531
LITTLE ROCK, AR 72205

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 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.

Where is Vladimir Kostyurenko located?

Vladimir Kostyurenko practices at 4301 W Markham St # 531, Little Rock, AR 72205. The listed phone number is (501) 686-8818.

What is Vladimir Kostyurenko's specialty?

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

Is Vladimir Kostyurenko enrolled in Medicare?

Yes. Vladimir Kostyurenko 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 Vladimir Kostyurenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vladimir Kostyurenko reassigns Medicare benefits to 8 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Southern Regional Anesthesiology Consultants PLLC (Little Rock, AR), St. Vincent Medical Group (Little Rock, AR), Arkansas Health Group (Little Rock, AR), Arkansas Anesthesia Associates, PLLC. (Benton, AR) and 3 more organizations, listed in the Medicare section above. 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 Vladimir Kostyurenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vladimir Kostyurenko accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Vladimir Kostyurenko 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 Vladimir Kostyurenko affiliated with any hospitals?

According to CMS data, Vladimir Kostyurenko is affiliated with Tampa General Hospital Brooksville.

When was this NPI record last updated?

The NPPES record for Vladimir Kostyurenko was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.