Robert J Kudelko, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS0003558 Issued in FL

Practice address

2025 Indian Rocks Rd S
Largo, FL 33774-1035

Phone

(727) 733-2072

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (2 of 3)

Networks

• Optimum HealthCare HMO Network

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.

• Suncoast Medical Imaging Associates

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1376618918

  Diagnostic Radiology

  NPD (past) Authorized official
• Babat, Katz, and Samuelson MDS PA

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1700829561
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760412290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337791391",
            "telephone_number": "727-733-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-733-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDELKO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS0003558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine D Kubiak, MD
• Lekha Sri Kuchampudi, DO
• Kathryn Kuchman
• Jennifer Lynn Kudelko, D.O.
• Marc A Kudelko, D.O.
• Suzanne Alice Kuhaneck, RPH
• Payton A Kuhlenbeck, D.O
• Allen R Kuhn, MD
• Durga Amy Kumar
• Molly Kurtz, SLP

• Diagnostic Radiology Physician in Largo, FL
• Providers in Largo, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.