Doctor profile · Federal record

Dr. Tatiana Kidanov, MS,RD,CDN,CDCES

Metabolic Nutrition Registered Dietitian · Staten Island, NY

  • NPI 1871775171
  • MIPS 85.1 / 100 · 2023
  • 19 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
36 Borman Ave
Staten Island, NY 103144957
(917) 721-4494

Credentials & registration

NPPES · NUCC
NPI registered
November 2007 — 19 yrs on file
Profile last updated
March 17, 2026
Specialty taxonomy
133VN1006X — NUCC code
State license (1)
New York #006762

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1871775171. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
241
Distinct HCPCS
2
Medicare allowed
$7,638
HCPCS Description Services Patients Avg allowed
97803 Therapy procedure reassessment for nutrition management, each 15 minutes 188 58 $31
97802 Therapy procedure for nutrition management, each 15 minutes 53 16 $35

In context: peer comparison

Among 1 peers in Staten Island Metabolic Nutrition Registered Dietitian, average services per provider: 120. This provider delivers 2.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Tatiana Kidanov's medical specialty?
Dr. Tatiana Kidanov practices Metabolic Nutrition Registered Dietitian in Staten Island, NY.
Where does Dr. Tatiana Kidanov practice?
Dr. Tatiana Kidanov practices at 36 Borman Ave, Staten Island, NY 103144957. Office phone: 9177214494.
What is Dr. Tatiana Kidanov's NPI?
Dr. Tatiana Kidanov's National Provider Identifier (NPI) is 1871775171, issued by NPPES.
What procedures does Dr. Tatiana Kidanov commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure reassessment for nutrition management (HCPCS 97803); Therapy procedure for nutrition management (HCPCS 97802). Source: CMS Medicare Physician & Other Practitioners file.