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

Renat Kudyakov

Individual provider Family Nurse Practitioner · NPI 1578912325

Renat Kudyakov is a Nurse Practitioner in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with Medical City Transplant, PLLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
10
Licensed in
NY, TX
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

7777 Forest Ln Ste B446
Dallas, TX 75230-5647
Phone: (972) 566-8822
Fax: (972) 566-8861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7777 Forest Ln Ste B446, Dallas, TX 75230-5647 — (972) 566-8822

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP137445 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 340648 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP137445 (TX)

Record details

NPI number1578912325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2016
Last updated in NPPESJanuary 7, 2022
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medical City Transplant, Pllc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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