Brian A Koludrovich (NPI# 1295806248, PAC ID# 8325141047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1295806248 |
| PAC ID by PECOS | 8325141047 |
| Professional Enrollment ID | I20070316000177 |
| Full Name | Brian A Koludrovich |
| Organization Legal Name | NORTH EASTERN OHIO PODIATRY GROUP LLC |
| Address |
4200 Warrensville Ctr Rd Suite 271 Warrensville Heights OH 44122-7000 |
| Phone Number | 4409533668 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3072771336 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360143 | MARYMOUNT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5000 Rockside Rd, Suite 260, Independence, OH 44131-6823 | 4409533668 | NORTH EASTERN OHIO PODIATRY GROUP LLC |
| 4200 Warrensville Ctr Rd, Suite 271, Warrensville Heights, OH 44122-7000 | 4409533668 | NORTH EASTERN OHIO PODIATRY GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 88% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 41% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | NORTH EASTERN OHIO PODIATRY GROUP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vadim Glukh | Podiatry | North Eastern Ohio Podiatry Group LLC | 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094-9011 |
| Atta Asef | Podiatry | North Eastern Ohio Podiatry Group LLC | 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094-9011 |
| Street Address |
4200 WARRENSVILLE CTR RD SUITE 271 |
| City | WARRENSVILLE HEIGHTS |
| State | OH |
| Zip | 44122-7000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmanuel O Tuffuor | Internal Medicine | 4200 Warrensville Ctr Rd, Suite 250, Warrensville Heights, OH 44122-7000 | |
| Nikeyia Swift | Nurse Practitioner | Dr. Khalafi, Md, LLC | 4200 Warrensville Ctr Rd, Suite 430, Beachwood, OH 44122-7000 |
| Petrica Manolache | Internal Medicine | 4200 Warrensville Ctr Rd, Suite 220, Warrensville Heights, OH 44122-7051 | |
| Rafael Garcia | Nephrology | Renal Medicine Inc | 4200 Warrensville Ctr Rd, Suite 210, Beachwood, OH 44122-7000 |
| Satnam S Sandhu | Nephrology | Renal Medicine Inc | 4200 Warrensville Ctr Rd, Suite 210, Beachwood, OH 44122-7000 |
| Kamal Khalafi | Internal Medicine | Dr. Khalafi, Md, LLC | 4200 Warrensville Ctr Rd, Suite 430, Beachwood, OH 44122-7000 |
| Igor Lantsberg | Internal Medicine | 4200 Warrensville Ctr Rd, Suite 344, Beachwood, OH 44122-7000 | |
| Seyed Mirfendereski | Internal Medicine | Dr. Khalafi, Md, LLC | 4200 Warrensville Ctr Rd, Beachwood, OH 44122-7000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel T Dore | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Barbara A Moseley | Nurse Practitioner | University Hospitals Medical Group Inc | 3619 Park E Dr, Beachwood, OH 44122 |
| Harold L Blumenthal | Dermatology | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 | |
| Jerome Z Litt | Dermatology | Drs. J. Z. Litt and H. L. Blumenthal, Inc. | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 |
| Elizabeth A Hight | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Raisa A Lerner | Internal Medicine | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Kayla Elizabeth Aiosa | Nurse Practitioner | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Beejadi N Mukunda | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Rajesh Agarwal | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Nicholas U Ahn | Orthopedic Surgery | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Find all physicians in zip 44122 | |||
| City | WARRENSVILLE HEIGHTS |
| Zip Code | 44122 |
| Specialty | PODIATRY |
| City + Specialty | WARRENSVILLE HEIGHTS + PODIATRY |
Please comment or provide details below to improve the information on Brian A Koludrovich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.