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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: August 02, 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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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.

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 4 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.