Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ksenia Koltun, MD

Individual provider Anesthesiology Physician · NPI 1609161231

Ksenia Koltun, MD is an Anesthesiology in Troy, Michigan. Qualified in 2011, 15 years ago. Practices with Medical Directors Consultants PLC, a 17-clinician group. Licensed in Michigan and Oklahoma.

Years since qualifying
15
Licensed in
MI, OK
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301503468 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 31106 (OK)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301098662 (MI)

Record details

NPI number1609161231
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2011
Last updated in NPPESMarch 18, 2023
Certification dateMarch 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Medical Directors Consultants Plc — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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