Andrzej Kudelka, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

240693 Issued in NY

Practice address

3 Pellegrino Rd
Z8151
Stony Brook, NY 11794-8151

Phone

(631) 638-0910

Fax

(631) 638-0195

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

66.85

Promoting interoperability

99

Improvement activities

40

Cost

74.4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1003910209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PELLEGRINO RD",
            "address_2": "Z8151",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948151",
            "telephone_number": "631-638-0910",
            "fax_number": "631-638-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PELLEGRINO RD",
            "address_2": "Z8151",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948151",
            "telephone_number": "631-638-0910",
            "fax_number": "631-638-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDELKA",
        "first_name": "ANDRZEJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "240693",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "240693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halyna Krylyuk, MD
• Olena Ksovreli, M.D.
• Elias Ku
• Betty Kuang
• Allan Jeffrey Kucine, DDS
• Regina Leilani Kuhia, MD
• Andrew R Kulek, MD PHD
• Amulya Prahlad Kulkarni, DO
• Deven Kulkarni, MD
• Anisha R Kumar

• Medical Oncology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Medical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.