Jennifer Lynn Kudelko, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS9229 Issued in FL

Practice address

13644 Walsingham Rd
Largo, FL 33774-3532

Phone

(727) 595-2519

Fax

(727) 595-3872

NPI assigned

Oct 21, 2005

Last updated

Mar 22, 2013By the provider in NPPES

Sex

Female

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

Enrolled in FL

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

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suncoast Internal Medicine Consultants, P.aGroup PAC ID 4981679677, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspire Home Care Home health agency, Clearwater, FL, CCN 683187
• Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
• Aveanna Home Health Home health agency, Palm Harbor, FL, CCN 103170
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• Oak Manor Healthcare & Rehabilitation Center Nursing home, Largo, FL, CCN 105248

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Suncoast Internal Medicine Consultants, P.a.

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1710031984
  Medicare reassignment Care Compare group NPD

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

• Almendral Partners LLC

  dba Aspire Home Care

  • Home Health Agency
  • Clearwater, FL
  • NPI 1144621806
  Care Compare affiliation
• Baycare Home Care, Inc.

  • Home Health Agency
  • Largo, FL
  • NPI 1033117007
  Care Compare affiliation
• J1513, LLC

  • Skilled Nursing Facility
  • Largo, FL
  • NPI 1548985260

  Nursing home

  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  dba Morton Plant Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• Simone Health Care LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Palm Harbor, FL
  • NPI 1477853448
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1922097955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13644 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-595-2519",
            "fax_number": "727-595-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13644 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-595-2519",
            "fax_number": "727-595-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDELKO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrill A. Krolick, D.O
• Silvana Krulj
• Catherine D Kubiak, MD
• Lekha Sri Kuchampudi, DO
• Kathryn Kuchman
• Marc A Kudelko, D.O.
• Robert J Kudelko, D.O.
• Suzanne Alice Kuhaneck, RPH
• Payton A Kuhlenbeck, D.O
• Allen R Kuhn, MD

• Internal Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.