PATRICK KIENDREBEOGO MEDICAL DOCTOR
NPI 1972130953
Anesthesiology in Brooklyn, NY

Q: What is Patrick Kiendrebeogo's NPI number?

The NPI number for Patrick Kiendrebeogo is 1972130953. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Patrick Kiendrebeogo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

1 BROOKDALE PLZ RM 222, BROOKLYN, NY 11212(718) 240-6386 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 13, 2025, Apr 8, 2020, Apr 2, 2020 and 1 more (4 updates tracked since 2020).

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About Patrick Kiendrebeogo Medical Doctor NPPES

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

PATRICK KIENDREBEOGO MEDICAL DOCTOR (NPI 1972130953) is an individual anesthesiology provider in Brooklyn, New York, licensed in Virginia (0101289621) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972130953

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NamePATRICK KIENDREBEOGOCredential: MEDICAL DOCTOR

Location Address1 BROOKDALE PLZ RM 222Brooklyn, NY 11212-3139

Mailing Address445 Lenox RdBrooklyn, NY 11203-2017 · (718) 270-1000

Phone(718) 240-6386

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 26, 2020

Last NPPES UpdateJune 16, 20264 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1972130953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in VA · 0101289621

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 BROOKDALE PLZ RM 222, Brooklyn, NY 11212

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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 and accepts Medicare assignment

Patrick Kiendrebeogo Medical Doctor 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 ID8729595111

PECOS Enrollment IDI20250730000892

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 Reassignment

Medicare enrollment records show Patrick Kiendrebeogo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC

9.8 mi

Dietitian, Registered

506 LENOX AVE
New York, NY 10037

Reassigned Medicare billing, New York enrollment
2,094 clinicians in this Medicare group

NPI 1013375526 (212) 939-2467

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harlem Hospital Center

Acute Care Hospitals · New York, NY

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330240

Location506 Lenox AvenueNew York, NY 10037 · New York County

Emergency services Birthing friendly

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 Patrick Kiendrebeogo's NPI number?

The NPI number for Patrick Kiendrebeogo is 1972130953. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Patrick Kiendrebeogo located?

Patrick Kiendrebeogo practices at 1 Brookdale Plz Rm 222, Brooklyn, NY 11212. The listed phone number is (718) 240-6386.

What is Patrick Kiendrebeogo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Patrick Kiendrebeogo enrolled in Medicare?

Yes. Patrick Kiendrebeogo 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 organization bills Medicare for Patrick Kiendrebeogo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Kiendrebeogo reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The 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 Patrick Kiendrebeogo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Patrick Kiendrebeogo affiliated with any hospitals?

According to CMS data, Patrick Kiendrebeogo is affiliated with Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Patrick Kiendrebeogo was last updated on June 16, 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.