Renat Kudyakov
NPI 1578912325 · Nurse Practitioner · Dallas, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renat Kudyakov is a Nurse Practitioner provider in Dallas, TX (NPI 1578912325).
Provider details
- NPI number
- 1578912325
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 340648 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7777 Forest Ln Ste B446Dallas, TX 75230-5647Phone: (972) 566-8822Fax: (972) 566-8861
Registry dates
- Enumerated
- 2016-06-11
- Last updated
- 2022-01-07
- Certified
- 2021-08-10
Frequently asked questions
- What is Renat Kudyakov's NPI number?
- Renat Kudyakov's National Provider Identifier (NPI) is 1578912325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renat Kudyakov's specialty?
- Renat Kudyakov is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Renat Kudyakov located?
- Renat Kudyakov's practice location on file with NPPES is 7777 Forest Ln Ste B446, Dallas, TX 75230-5647.
- What is Renat Kudyakov's phone number?
- The practice phone number listed in the NPPES registry for Renat Kudyakov is (972) 566-8822.
- Does Renat Kudyakov accept Medicare?
- Renat Kudyakov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Renat Kudyakov's NPI active?
- Yes — Renat Kudyakov's NPI (1578912325) is active in the NPPES registry as of the last update on 2022-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.