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

Patrick Kiendrebeogo, MEDICALDOCTOR

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972130953

Patrick Kiendrebeogo, MEDICALDOCTOR is an Anesthesiology in Brooklyn, New York. Qualified in 2012, 14 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Brooklyn, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101289621 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972130953
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICALDOCTOR
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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