Alexander Kudinov
Individual provider Active NPI Cardiovascular Disease Physician · West Burlington, IA
NPI 1962953539 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1962953539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD-51543 (IA)
- Practice address
- 1223 S Gear Ave Ste 109
West Burlington, IA 52655-1685 - Phone
- (319) 768-1820
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southeast Iowa Regional Medical Center Inc
Henry County Health Center Inc
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
- Southeast Iowa Regional Medical Center
- Henry County Health Center
- Trinity Rock Island
- University of Iowa Hospital & Clinics
- Blessing Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719003837 | IA | Practitioner - Cardiovascular Disease (Cardiology) | 8426329012 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Henry County Health Center Inc | Current |
Accepting new patients | |
| Henry County Health Center, Inc. | Current |
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
1225 S Gear Ave
Ste 159
West Burlington, IA 52655
Phone (319) 752-4553
1223 S Gear Ave
Ste 109
West Burlington, IA 52655
Phone (319) 753-5474
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Interoperability endpoints
- akudinov69340@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD-51543 | IA | Yes |
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
Other providers in West Burlington, IA
- Andrew Robert Klein
- Khyla Marie Kline
- Sarah Kottenstette
- Aaron Taylor Krenek
- Charlene J Kruse
- Hubert Ladringan Labio
- Lisa Ann Lake
- Corey Lalonde
- Maricris Enriquez Lapinid
- Georgia Lois Lauer
All providers in West Burlington, IA · Cardiovascular Disease Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.