Active NPI
Dmitry Ulend, NP
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP025446
- Practice address
- 14200 Bustleton Ave Ste 17
Philadelphia, PA 19116-1186 - Phone
- (267) 934-6769
- Fax
- (302) 735-3845
- NPI assigned
- Jan 31, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5013108 | NC | |
| Nurse Practitioner | 363L00000X | LP-0000334 | DE | |
| Nurse Practitioner | 363L00000X | SP025446 | PA | Primary |
Addresses
Primary practice location
14200 Bustleton Ave Ste 17
Philadelphia, PA 19116-1186
Mailing address
901 W Ashland Ave
Glenolden, PA 19036-1101
Phone (610) 461-6522
Other names 1
- Dmytro Ulendyeyev
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180207002736 | NM | Practitioner - Nurse Practitioner | 1557621729 | Reassigns benefits to 1 organization |
| I20220816002768 | PA | Practitioner - Nurse Practitioner | 1557621729 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0000334 | DE | MD | Nurse Practitioner |
| 5013108 | NC | MD | Nurse Practitioner |
| SP025446 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ulend Medical Practice LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Oleg Volchonok, MD, PC | Current | Accepting new patients | |
| Advanced Family Medicine PC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Northeast Medical and Rehabilitation Center, P.C. | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
14200 Bustleton Ave
Ste 4
Philadelphia, PA 19116
Phone (215) 671-0900
14200 Bustleton Ave
Ste 17
Philadelphia, PA 19116
Phone (267) 934-6769
11400 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 969-8446
Interoperability endpoints
- dulend79997@capefearvalley.direct-ci.com
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
- Philadelphia, PA
- NPI 1689462186
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1790951390
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Clinic/Center
- Philadelphia, PA
- NPI 1700070687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1306344718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W ASHLAND AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190361101",
"telephone_number": "610-461-6522",
"fax_number": "610-461-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14200 BUSTLETON AVE STE 17",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161186",
"telephone_number": "267-934-6769",
"fax_number": "302-735-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULEND",
"first_name": "DMITRY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-31",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013108",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0000334",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP025446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DMYTRO",
"last_name": "ULENDYEYEV",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.