Dr Paul Edward Kudelko Ii, DO - Medicare Interventional Cardiology in Hendersonville, TN

Dr Paul Edward Kudelko Ii, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Hendersonville, Tennessee. He went to Nova Southeastern College Of Osteo Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Tristar Tennessee Heart And Vascular Llc and his current practice location is 353 New Shackle Island Rd, Suite 300c, Hendersonville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 824-0043.

Dr Paul Edward Kudelko Ii is licensed to practice in Tennessee (license number DO 2430) 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 1225027014.

Contact Information

Dr Paul Edward Kudelko Ii, DO
353 New Shackle Island Rd, Suite 300c,
Hendersonville, TN 37075-2379
(615) 824-0043
(615) 822-1690

Map and Direction




Physician's Profile

Full NameDr Paul Edward Kudelko Ii
GenderMale
SpecialityInterventional Cardiology
Experience31 Years
Location353 New Shackle Island Rd, Hendersonville, Tennessee
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 Paul Edward Kudelko Ii attended and graduated from Nova Southeastern College Of Osteo Medicine in 1993
  NPI Data:
  • NPI Number: 1225027014
  • Provider Enumeration Date: 10/14/2005
  • Last Update Date: 02/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759346398
  • Enrollment ID: I20130128000535

Medical Identifiers

Medical identifiers for Dr Paul Edward Kudelko Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225027014NPI-NPPES
1530417MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology DO 2430 (Tennessee)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease DO 2430 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Hendersonville Medical CenterHendersonville, TNHospital
Sumner Regional Medical CenterGallatin, TNHospital
Northcrest Medical CenterSpringfield, TNHospital
Tristar Centennial Medical CenterNashville, TNHospital
Macon Community HospitalLafayette, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tristar Tennessee Heart And Vascular Llc256781147416

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 Paul Edward Kudelko Ii allows following entities to bill medicare on his behalf.
Entity NameSumner Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720572209
PECOS PAC ID: 8820283260
Enrollment ID: O20101112000475
Entity NameTristar Tennessee Heart And Vascular Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114708906
PECOS PAC ID: 2567811474
Enrollment ID: O20231218000395

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 Paul Edward Kudelko Ii 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 Paul Edward Kudelko Ii, DO
353 New Shackle Island Rd, Suite 300c,
Hendersonville, TN 37075-2379

Ph: (615) 824-0043
Dr Paul Edward Kudelko Ii, DO
353 New Shackle Island Rd, Suite 300c,
Hendersonville, TN 37075-2379

Ph: (615) 824-0043

Reviews and Comments


Internal Medicine Doctors in Hendersonville, TN

Dr. Disha Awasthi, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 102 Wessington Pl, Hendersonville, TN 37075
Phone: 615-822-2214    Fax: 615-822-6519
Mosunmola Adeshewa Adebowale Ademosu, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075
Phone: 615-338-1000    
Hailu T Kabtimer, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 919 W Main St M3, Hendersonville, TN 37075
Phone: 615-826-2102    Fax: 615-826-2743
Mr. Scott Alan Hande, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075
Phone: 615-826-0710    Fax: 615-826-0910
Jung H. Lee, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 353 New Shackle Island Rd, #300c, Hendersonville, TN 37075
Phone: 615-338-3337    Fax: 615-338-3329
Dr. Marshall R Johnson Jr., MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075
Phone: 615-338-1000    Fax: 615-338-1101
Paul S Daugherty, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075
Phone: 615-826-3111    Fax: 615-826-3112

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.