Ksenia Koltun, M.D.
NPI 1609161231ActiveIndividual· Anesthesiology· Troy, MI
Anesthesiology (M.D.) with Northstar Anesthesia of Michigan III PLLC and 1 other group, practicing in Troy, Michigan. Medicare paid $26,518 for services to 298 patients in 2024. Lists Beaumont Hospital, Troy as a hospital affiliation.
Overview
| NPI | 1609161231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 11, 2011 |
| Last updated in NPPES | Mar 18, 2023 |
| Certified by provider | Mar 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 4301503468 | MI |
| Anesthesiology | 207L00000X | 31106 | OK |
| Anesthesiology | 207L00000X | 4301098662 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (MI); Practitioner - Anesthesiology (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 298 |
|---|---|
| Services billed | 327 across 69 procedure codes |
| Paid by Medicare | $26,518 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical groups
- Northstar Anesthesia of Michigan III PLLCDearborn, MI · 561 clinicians
- Medical Directors Consultants PLCBloomfield Hills, MI · 18 clinicians
Hospital affiliation
- Beaumont Hospital, TroyTroy, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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