Yaroslaw J. Kolybabiuk, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME162104 Issued in FL

Practice address

20091 Passagio Dr
Venice, FL 34293-1977

Phone

(609) 828-1100

NPI assigned

May 15, 2006

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherry Hill Health Care Associates PA

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1487607701
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1275584237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20091 PASSAGIO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931977",
            "telephone_number": "609-828-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20091 PASSAGIO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931977",
            "telephone_number": "609-828-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLYBABIUK",
        "first_name": "YAROSLAW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kluender
• Michelle Marie Knapp, PMHNP
• Known and Loved Counseling Center LLC
• Marianne Kocur, CTRS
• Brooke Kohler
• Korey Ann Komorowski
• Ravi Kondapalli, M.D.
• James Dana Kondrup, M.D
• Jessica Kontoes
• John T Kontor, MD

• Family Medicine Physician in Venice, FL
• Providers in Venice, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.