Individual provider Active NPI

Andrea Naomi Kudel, D.O.

  • Family Medicine Physician
  • Le Roy, NY
National Provider Identifier
1467711135
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
279092-1 Issued in NY
Practice address
8745 Lake Street Rd
Le Roy, NY 14482-9344
Phone
(585) 768-2620
Fax
(585) 768-2694
NPI assigned
May 15, 2012
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 279092 NY
Family Medicine Physician 207Q00000X 279092-1 NY Primary

Addresses

Primary practice location

8745 Lake Street Rd
Le Roy, NY 14482-9344

Mailing address

8745 Lake Street Rd
Le Roy, NY 14482-9344
Phone (585) 768-2620

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address akudel102894@direct.urmc.rochester.edu Direct
Direct Messaging Address akudel102894@direct.urmc.rochester.edu Direct
Direct Messaging Address akudel102894@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150908000634 NY Practitioner - Family Practice 5193031185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
279092NYMDFamily Medicine Physician
279092-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Family Medicine CurrentSince Sep 2, 2023 Accepting new patients
University of Rochester CurrentSince Jul 1, 2015 Accepting new patients
University of Rochester CurrentSince Jul 1, 2015 Accepting new patients
Highland Hospital of Rochester CurrentSince Sep 2, 2023 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
University of Rochester Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

127 W Main St
Le Roy, NY 14482
Phone (585) 602-1700

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

Interoperability endpoints

  • Direct secure messaging: akudel102894@direct.urmc.rochester.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1467711135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 LAKE STREET RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829344",
            "telephone_number": "585-768-2620",
            "fax_number": "585-768-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 LAKE STREET RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829344",
            "telephone_number": "585-768-2620",
            "fax_number": "585-768-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDEL",
        "first_name": "ANDREA",
        "middle_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "279092",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "279092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akudel102894@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akudel102894@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akudel102894@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Le Roy, NY

Sources for this page

Verify at the official NPI Registry.