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TATIANA KIDANOV MS,RD,CDN,CDCES
NPI 1871775171
Dietitian, Registered - Nutrition, Metabolic in Staten Island, NY

Active since November 29, 2007
90.71/100
CMS Quality Rating
36 BORMAN AVE, STATEN ISLAND, NY 10314(917) 721-4494 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tatiana Kidanov Ms,rd,cdn,cdces NPPES

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

TATIANA KIDANOV MS,RD,CDN,CDCES (NPI 1871775171) is an individual nutrition, metabolic provider in Staten Island, New York, licensed in New York (006762) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1871775171
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameTATIANA KIDANOVCredential: MS,RD,CDN,CDCES
Location Address36 BORMAN AVEStaten Island, NY 10314-4957
Mailing Address36 Borman AveStaten Island, NY 10314 · (917) 721-4494
Phone(917) 721-4494
Sole ProprietorYes
Enumeration DateNovember 29, 2007
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1871775171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in NY · 006762
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
36 BORMAN AVE, Staten Island, NY 10314
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana Kidanov Ms,rd,cdn,cdces is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

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

Mbd Care LLC
1.2 mi
Clinic/Center
3350 VICTORY BLVD
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
NPI 1538042650 (917) 721-4494
Parcare Community Health Network Inc
12 mi
Multi-Specialty
445 PARK AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 193 clinicians in this Medicare group
NPI 1730454083 (718) 963-0800
Manalapan Medical Center PA PC
18 mi
Endocrinology, Diabetes & Metabolism
345 ROUTE 9 SOUTH, SUITE 9
Manalapan, NJ 07726
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1821225137 (732) 845-2200

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.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
37 services12 patients

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.

90.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.27
Promoting Interoperability100
Improvement Activities40
Cost63.06

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 Tatiana Kidanov's NPI number?

The NPI number for Tatiana Kidanov is 1871775171. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Tatiana Kidanov located?

Tatiana Kidanov practices at 36 Borman Ave, Staten Island, NY 10314. The listed phone number is (917) 721-4494.

What is Tatiana Kidanov's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Tatiana Kidanov enrolled in Medicare?

Yes. Tatiana Kidanov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tatiana Kidanov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatiana Kidanov reassigns Medicare benefits to 3 organizations: Mbd Care LLC (Staten Island, NY), Parcare Community Health Network Inc (Brooklyn, NY) and Manalapan Medical Center PA PC (Manalapan, NJ). 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 Tatiana Kidanov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tatiana Kidanov was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.