NPIMap

Individual provider Active NPI

Vinod S Kudagi, MD

  • Interventional Cardiology Physician
  • Bethlehem, PA
National Provider Identifier
1861684094
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD459779 Issued in PA
Practice address
1469 8TH Ave
Bethlehem, PA 18018-2256
Phone
(484) 526-7800
Fax
(484) 526-7810
NPI assigned
Aug 12, 2007
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD459779 PA Primary
Cardiovascular Disease Physician 207RC0000X 254755 NY

Addresses

Primary practice location

1469 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-7800

Other identifiers 1

IdentifierTypeStateIssuer
03831830MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223000322 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2062635774 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Tech Park Dr
Suite 1150
Johnstown, PA 15901-2515
Phone (814) 475-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254755NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Miners Medical Center LLC Cardiovascular Disease CurrentSince Dec 20, 2023 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jan 1, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Dec 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2019 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2017 Accepting new patients
Excela Health Physician Practices, Inc Cardiovascular Disease Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1469 8th Ave
Bethlehem, PA 18018
Phone (610) 419-7800

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

530 South St
Greensburg, PA 15601
Phone (724) 830-8527

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

Interoperability endpoints

  • Direct secure messaging: vkudagi51010@direct.conemaugh.org

Organizations & group practices 11

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 4

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": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1861684094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-7800",
            "fax_number": "484-526-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-7800",
            "fax_number": "484-526-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDAGI",
        "first_name": "VINOD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-12",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD459779",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "254755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03831830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.