Yogesh Vinod Kolwadkar, MD,MRCSED,MS,MCH

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

125.059018 Issued in IL

Practice address

20 W 6TH St
Suite 1
Spencer, IA 51301-3901

Phone

(712) 580-2022

NPI assigned

Aug 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Institute of Musculoskeletal Excellence in Orthopedics PLLCGroup PAC ID 4587028139, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
• Laredo Medical Center Hospital, Laredo, TX, CCN 450029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yogesh.kolwadkar.1@28730.direct.athenahealth.com

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.

• Texas Institute of Musculoskeletal Excellence in Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Laredo, TX
  • NPI 1295314995
  Medicare reassignment Care Compare group NPD
• Laredo Sports Medicine Clinic, PA

  • Orthopaedic Surgery Physician
  • Laredo, TX
  • NPI 1477675163
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  Care Compare affiliation
• Laredo Texas Hospital Company LP

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  Care Compare affiliation

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1326327149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "address_2": "SUITE 1",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013901",
            "telephone_number": "712-580-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "address_2": "SUITE 1",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013901",
            "telephone_number": "712-580-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLWADKAR",
        "first_name": "YOGESH",
        "middle_name": "VINOD",
        "name_prefix": "Dr.",
        "credential": "MD,MRCSED,MS,MCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-36668",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-42289",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MT202820",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "125.059018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I113010004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen D Kitchens
• Christian Lynn Kladstrup, DO
• Amber Klynsma, LMSW, TCADC, P-CFLE
• Brenna A. Koedam, LMHC, IADC
• Sherry Lynn Kolacia-Tighe, M.D.
• Laura Ellen Konkle-King, LMSW
• Travis Kremmin, PHARMD
• Elizabeth C. Kressin, D.C.
• Dale Kroll, CRNA
• Katie Krusen, LISW

• Adult Reconstructive Orthopaedic Surgery Physician in Spencer, IA
• Providers in Spencer, IA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.