Dr Douglas S Kondziolka, MD - Medicare Neurosurgery in New York, NY

Dr Douglas S Kondziolka, MD is a medicare enrolled "Neurological Surgery" physician in New York, New York. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice New York University and his current practice location is 530 1st Ave, Suite 8r, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 263-2950.

Dr Douglas S Kondziolka is licensed to practice in New York (license number 267044) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063486488.

Contact Information

Dr Douglas S Kondziolka, MD
530 1st Ave, Suite 8r,
New York, NY 10016-6402
(212) 263-2950
Not Available

Map and Direction




Physician's Profile

Full NameDr Douglas S Kondziolka
GenderMale
SpecialityNeurosurgery
Experience39 Years
Location530 1st Ave, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Douglas S Kondziolka graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1063486488
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 03/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850588104
  • Enrollment ID: I20121205000240

Medical Identifiers

Medical identifiers for Dr Douglas S Kondziolka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063486488NPI-NPPES
001269761MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 267044 (New York)Primary
174400000XSpecialist MD042521L (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York University Langone Medical CenterNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224431

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Douglas S Kondziolka allows following entities to bill medicare on his behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas S Kondziolka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Douglas S Kondziolka, MD
530 1st Ave, Suite 8r,
New York, NY 10016-6402

Ph: (212) 263-2950
Dr Douglas S Kondziolka, MD
530 1st Ave, Suite 8r,
New York, NY 10016-6402

Ph: (212) 263-2950

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.