Look up the most recent NPI and PECOS records

Kseniya Slobodyanyuk

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Kseniya Slobodyanyuk is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1366855868
Provider Type
Individual
Full Name
Slobodyanyuk, Kseniya
Title
Dr.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/3/2014
Last Updated
7/1/2025

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3220

(203) 688-4242

Unlisted Fax

Mailing Location

20 York St, New Haven, CT 06510-3220

(203) 688-4242

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 80192 Connecticut
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 291981-1 New York
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kseniya Slobodyanyuk

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Thomas, Mary Lizzie

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Rodriguez, Marie Anjeliese

Kay, Shannon

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Orsillo, Maisie Alie

Kang-Giaimo, Angela Jeeyun