IVAN KOZHULENKO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023592805
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
670 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
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Provider Addresses for IVAN KOZHULENKO (CRNA)
West 32nd Court, Shirk, Sand Springs, Tulsa County, Oklahoma, 74063, United States
SAND SPRINGS, OK 740632936
Phone: (501) 463-0047
Fax: (770) 701-6825
Type: Mailing
Hillcrest Medical Center, 1120, South Utica Avenue, Midtown Terrace, Tulsa, Tulsa County, Oklahoma, 74104, United States
TULSA, OK 741044012
Phone: (918) 579-8344
Type: Location
920 STANTON L YOUNG BLVD STE WP1140
OKLAHOMA CITY, OK 731045036
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
PO BOX 26901
OKLAHOMA CITY, OK 731260901
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($81).
Total Amount
$123
General + Research + Ownership
Payments
8
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $81 |
| Chiesi USA, Inc. | $42 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181211003453 | I | Certified Registered Nurse Anesthetist (Crna) | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 27 | 27 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 12 | 12 | $0 |
| 00732 | Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 74063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| O P H T H A L M O L O G Y | OK | |
| R H E U M A T O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Hospitalist | OK | |
| Medical Oncology | RI | |
| Clinical Social Worker | OK | |
| Geriatric Medicine, Family Practice | TN |
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