Active NPI
John J Kudlak Jr., D.O.
- Pulmonary Disease Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 714
- Practice address
- 200 Patewood Dr
Suite B300
Greenville, SC 29615-3593 - Phone
- (864) 454-4200
- Fax
- (864) 454-4205
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 714 | SC | Primary |
Addresses
Primary practice location
200 Patewood Dr
Suite B300
Greenville, SC 29615-3593
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00265774 | Other | SC | RR MEDICARE |
| P00801525 | Other | SC | RAILROAD MEDICARE |
| 007147 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- West Virginia School of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Professional Park Dr
Seneca, SC 29678-2558
Phone (864) 482-3000
135 Professional Park Dr
Seneca, SC 29678-2558
Phone (864) 882-5306
200 Fleetwood Dr
Easley, SC 29640-2022
Phone (864) 442-7618
200 Patewood Dr
Suite B300
Greenville, SC 29615-6338
Phone (864) 454-4200
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
22725 Hwy 76 E
Clinton, SC 29325-7527
Phone (864) 833-4545
22725 US Hwy 76
Suite 3C
Clinton, SC 29325-7527
Phone (864) 833-3852
300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 797-6220
300 E McBee Ave FL
Suite 4
Greenville, SC 29601-2842
701 Grove Rd
Greenville, SC 29605-4210
727 SE Main St
Simpsonville, SC 29681-3248
807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261
815 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261
817 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9790
830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455
890 W Faris Rd
Suite 570
Greenville, SC 29605-5894
Phone (864) 455-1540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714 | SC | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147
200 Patewood Dr
Ste B300
Greenville, SC 29615
Phone (864) 454-4200
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
115 N Sumter St
Ste 315
Sumter, SC 29150
Phone (803) 774-9787
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- jkudlak7178@direct.ghs.myhfn.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbia, SC
- NPI 1417442864
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 55
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- General Acute Care Hospital
- Clinton, SC
- NPI 1245786367
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1366998460
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1396207221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1023064847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR",
"address_2": "SUITE B300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153593",
"telephone_number": "864-454-4200",
"fax_number": "864-454-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLAK",
"first_name": "JOHN",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00265774",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00801525",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007147",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.