Dr Vitaly Zholudev, MD is a medicare enrolled "Urology" physician in Columbus, New Jersey. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Urology. He is a member of the group practice Summit Medical Group Pa and his current practice location is
1 Sheffield Drive Suite 202a, Columbus, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 740-0030.
Dr Vitaly Zholudev is licensed to practice in New Jersey (license number 25MA10390900) 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 1619388535.
Physician's Profile
| Full Name | Dr Vitaly Zholudev |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 11 Years |
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| Location | 1 Sheffield Drive Suite 202a, Columbus, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Vitaly Zholudev graduated from medical school in 2014
NPI Data:
- NPI Number: 1619388535
- Provider Enumeration Date: 05/13/2014
- Last Update Date: 12/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840594917
- Enrollment ID: I20190903000634
Medical Identifiers
Medical identifiers for Dr Vitaly Zholudev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619388535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 006805 (Georgia) | Secondary |
| 208800000X | Urology | 25MA10390900 (New Jersey) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group Pa | 5395642276 | 1147 |
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 Vitaly Zholudev allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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| Entity Name | New Jersey Urology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588822423
PECOS PAC ID: 1456410638
Enrollment ID: O20081103000206 |
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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 Vitaly Zholudev 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 Address | Practice Location Address |
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Dr Vitaly Zholudev, MD
1 Sheffield Drive Suite 202a,
Columbus, NJ 08022
Ph: (609) 740-0030 | Dr Vitaly Zholudev, MD
1 Sheffield Drive Suite 202a,
Columbus, NJ 08022
Ph: (609) 740-0030 |
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