NPIMap

Individual provider Active NPI

Alexander Kudinov

  • Cardiovascular Disease Physician
  • West Burlington, IA
National Provider Identifier
1962953539
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-51543 Issued in IA
Practice address
1223 S Gear Ave Ste 109
West Burlington, IA 52655-1685
Phone
(319) 768-1820
NPI assigned
Oct 19, 2016
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-51543 IA Primary

Addresses

Primary practice location

1223 S Gear Ave Ste 109
West Burlington, IA 52655-1685

Mailing address

1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230719003837 IA Practitioner - Cardiovascular Disease (Cardiology) 8426329012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry County Health Center IncGroup PAC ID 9638570740, shared by 8 NPIs, 52 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1223 S Gear Ave
West Burlington, IA 52655-1685

1225 S Gear Ave
West Burlington, IA 52655-1686

407 S White St
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Henry County Health Center Inc CurrentSince Jan 9, 2024 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients
Burlington Neurology and Sleep Clinic, PLC Past Accepting new patients

Locations

5409 Avenue O
Ste 108
Fort Madison, IA 52627
Phone (319) 376-1066

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Ste 21
Mount Pleasant, IA 52641
Phone (319) 385-5374

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

220 Mulberry St
Wapello, IA 52653
Phone (319) 768-4085

220 Mulberry St
Ste A
Wapello, IA 52653
Phone (319) 523-3421

1201 W Agency Rd
West Burlington, IA 52655
Phone (319) 394-3991

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1223 S Gear Ave
Ste 109
West Burlington, IA 52655
Phone (319) 753-5474

1225 S Gear Ave
Ste 159
West Burlington, IA 52655
Phone (319) 752-4553

Interoperability endpoints

  • Direct secure messaging: akudinov69340@uihealth.direct-ci.com

Organizations & group practices 5

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 6

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1962953539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE STE 109",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551685",
            "telephone_number": "319-768-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDINOV",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-51543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.