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

Timur Kitaev

Individual provider Certified Registered Nurse Anesthetist · NPI 1346829983

Timur Kitaev is a Certified Registered Nurse Anesthetist (CRNA) in New Hyde Park, New York. Qualified in 2021, 5 years ago. Practices with Pacific Valley Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
5
Licensed in
CA, NY
In the registry since
2021
Specialties on file
3

Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-7000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95001928 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 132272 (NY)

Record details

NPI number1346829983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pacific Valley Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New Hyde Park