Dr Nykolai Vasil Pidhorodeckyj, MD is a
Internal Medicine - Addiction Medicine physician based in Center City, Minnesota. Dr Nykolai Vasil Pidhorodeckyj is licensed to practice in Ohio (license number 35-079642) and his current practice location is 15251 Pleasant Valley Rd # Re-16, Center City, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 213-4086.
NPI number for Dr Nykolai Vasil Pidhorodeckyj is 1861572364 and his current mailing address is 4280 Cobblestone Dr, Copley, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861572364.
Physician's Profile
| Full Name | Dr Nykolai Vasil Pidhorodeckyj |
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| Gender | Male |
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| Speciality | Internal Medicine - Addiction Medicine |
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| Location | 15251 Pleasant Valley Rd # Re-16, Center City, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861572364
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 08/25/2025
Medical Identifiers
Medical identifiers for Dr Nykolai Vasil Pidhorodeckyj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861572364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 35-079642 (Ohio) | Primary |
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 Nykolai Vasil Pidhorodeckyj is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nykolai Vasil Pidhorodeckyj, MD
4280 Cobblestone Dr,
Copley, OH 44321-2926
Ph: (330) 606-5514 | Dr Nykolai Vasil Pidhorodeckyj, MD
15251 Pleasant Valley Rd # Re-16,
Center City, MN 55012-9640
Ph: (651) 213-4086 |
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