MR. PAVLO KOLYESNYKOV DPM
NPI 1770213266
Podiatrist - Foot & Ankle Surgery in Fargo, ND
About Mr. Pavlo Kolyesnykov Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAVLO KOLYESNYKOV DPM (NPI 1770213266) is an individual foot & ankle surgery provider in Fargo, North Dakota, licensed in Illinois (016.006122) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2022).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Pavlo Kolyesnykov Dpm 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medicine Mchenry
Acute Care Hospitals · Mchenry, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pavlo Kolyesnykov's NPI number?
The NPI number for Pavlo Kolyesnykov is 1770213266. It was assigned to this individual provider in the NPPES registry on June 16, 2022.
Where is Pavlo Kolyesnykov located?
Pavlo Kolyesnykov practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-5933.
What is Pavlo Kolyesnykov's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Pavlo Kolyesnykov enrolled in Medicare?
Yes. Pavlo Kolyesnykov 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.
Is Pavlo Kolyesnykov affiliated with any hospitals?
According to CMS data, Pavlo Kolyesnykov is affiliated with Northwestern Medicine Mchenry.
When was this NPI record last updated?
The NPPES record for Pavlo Kolyesnykov was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Pavlo Kolyesnykov, DPM · NPI 1770213266
Foot & Ankle Surgery provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since June 16, 2022.
## Identity
- **NPI:** 1770213266 (Entity type: Individual)
- **Enumerated:** June 16, 2022
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 016.006122 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 BROADWAY N, Fargo, ND 58102-3641
- **Phone:** (701) 234-5933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2022
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770213266) · Data from the CMS NPPES public registry.