Nikolay Dudumov, CRNA in Los Angeles, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Nikolay Dudumov, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Landmark Anesthesia Medical Group and his current practice location is 1300 N Vermont Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 413-3000.

Nikolay Dudumov is licensed to practice in California (license number 95001647) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467945295.

Contact Information

	Nikolay Dudumov, CRNA
	1300 N Vermont Ave, Los Angeles, CA 90027-6098
	(213) 413-3000
	(323) 666-2939

Map and Direction

Provider's Profile

Full Name	Nikolay Dudumov
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	1300 N Vermont Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nikolay Dudumov graduated from nursing school in 2020

NPI Data:

NPI Number: 1467945295
Provider Enumeration Date: 06/06/2018
Last Update Date: 02/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6305258120
Enrollment ID: I20220308000755

Medical Identifiers

Medical identifiers for Nikolay Dudumov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467945295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA203074 (Maine)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001647 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Lynwood, CA	Hospital
Centinela Hospital Medical Center	Inglewood, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Landmark Anesthesia Medical Group	5698055804	29

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nikolay Dudumov allows following entities to bill medicare on his behalf.

Entity Name	Hp Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992133474 PECOS PAC ID: 6608009766 Enrollment ID: O20140425001684

Entity Name	Landmark Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nikolay Dudumov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nikolay Dudumov, CRNA Po Box 25033, Santa Ana, CA 92799-5033 Ph: (714) 347-1000	Nikolay Dudumov, CRNA 1300 N Vermont Ave, Los Angeles, CA 90027-6098 Ph: (213) 413-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Nikolay Dudumov, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Los Angeles, CA