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ANDREY KOLESNIKOV MD
NPI 1962661538
Pediatrics in Staten Island, NY

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
586 MIDLAND AVE STE 1B, STATEN ISLAND, NY 10306(465) 987-7916(646) 437-5457 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrey Kolesnikov Md NPPES

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

ANDREY KOLESNIKOV MD (NPI 1962661538) is an individual pediatrics provider in Staten Island, New York, licensed in New York (287701) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1962661538
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREY KOLESNIKOVCredential: MD
Location Address586 MIDLAND AVE STE 1BStaten Island, NY 10306-5901
Mailing Address586 Midland Ave Ste 1bStaten Island, NY 10306-5901 · (465) 987-7916 · Fax (646) 437-5457
Phone(465) 987-7916
Fax(646) 437-5457
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 9, 2008
Last NPPES UpdateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1962661538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 287701
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
586 MIDLAND AVE STE 1B, Staten Island, NY 10306
Open in Google Maps ↗

Other Identifiers 1

Other287701NY · Ny Medical License

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

Andrey Kolesnikov Md 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 ID1355592577
PECOS Enrollment IDI20191010001889
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrey Kolesnikov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Doctor Milena Kolesnikova PC
Same address
Internal Medicine
586 MIDLAND AVE STE B
Staten Island, NY 10306
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1700404720 (646) 598-7791
Amboy Medical Practice PC
4.4 mi
Diagnostic Radiology
355 BARD AVE
Staten Island, NY 10310
  • Reassigned Medicare billing, New York enrollment
  • 305 clinicians in this Medicare group
NPI 1104692672 (718) 818-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims29 services$5.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Andrey Kolesnikov's NPI number?

The NPI number for Andrey Kolesnikov is 1962661538. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Andrey Kolesnikov located?

Andrey Kolesnikov practices at 586 Midland Ave Ste 1B, Staten Island, NY 10306. The listed phone number is (465) 987-7916.

What is Andrey Kolesnikov's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrey Kolesnikov enrolled in Medicare?

Yes. Andrey Kolesnikov 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 Andrey Kolesnikov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrey Kolesnikov reassigns Medicare benefits to 2 organizations: Medical Doctor Milena Kolesnikova PC (Staten Island, NY) and Amboy Medical Practice PC (Staten Island, NY). 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 Andrey Kolesnikov'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 Andrey Kolesnikov was last updated on September 22, 2021. 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.