1. Home
  2. Directory
  3. Florida
  4. Fort Lauderdale
  5. Nurse Practitioner
  6. NPI Profile

TIMUR KADIROV APRN
NPI 1790385946
Nurse Practitioner - Primary Care in Fort Lauderdale, FL

Active since October 27, 2020PECOS Enrolled
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316(954) 200-6001 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timur Kadirov Aprn NPPES

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

TIMUR KADIROV APRN (NPI 1790385946) is an individual primary care provider in Fort Lauderdale, Florida, licensed in Florida (APRN11004885) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790385946
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameTIMUR KADIROVCredential: APRN
Location Address1328 SE 17TH STFort Lauderdale, FL 33316-1708
Mailing Address1328 Se 17th StFort Lauderdale, FL 33316-1708
Phone(954) 200-6001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1790385946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · APRN11004885
1328 SE 17TH ST, Fort Lauderdale, FL 33316
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timur Kadirov Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072964519
PECOS Enrollment IDI20240109001357
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 33316 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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 4

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

DR. ADRIAN T. MAESTAS M.D.
Emergency Medicine
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (954) 200-6001
ALEXANDER BIRUKOFF FNP-BC
Nurse Practitioner (Family)
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (754) 777-1333
ID&WM LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (754) 777-1333
MARINA FULLER
Nurse Practitioner (Family)
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (954) 200-6001

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 Timur Kadirov's NPI number?

The NPI number for Timur Kadirov is 1790385946. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Timur Kadirov located?

Timur Kadirov practices at 1328 SE 17th St, Fort Lauderdale, FL 33316. The listed phone number is (954) 200-6001.

What is Timur Kadirov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Timur Kadirov enrolled in Medicare?

Yes. Timur Kadirov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timur Kadirov was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.