NICOLE KALOUDIS
NPI 1255167292
Physician Assistant - Medical in Patchogue, NY
About Nicole Kaloudis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KALOUDIS (NPI 1255167292) is an individual medical provider in Patchogue, New York, licensed in New York (032452) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Kaloudis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Community Hospital
Acute Care Hospitals · Patchogue, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Kaloudis's NPI number?
The NPI number for Nicole Kaloudis is 1255167292. It was assigned to this individual provider in the NPPES registry on September 9, 2024.
Where is Nicole Kaloudis located?
Nicole Kaloudis practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7100.
What is Nicole Kaloudis's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nicole Kaloudis enrolled in Medicare?
Yes. Nicole Kaloudis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Nicole Kaloudis affiliated with any hospitals?
According to CMS data, Nicole Kaloudis is affiliated with Long Island Community Hospital.
When was this NPI record last updated?
The NPPES record for Nicole Kaloudis was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Kaloudis · NPI 1255167292
Medical physician in Patchogue, New York. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1255167292 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 032452 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 HOSPITAL RD, Patchogue, NY 11772-4870
- **Phone:** (631) 654-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 9, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1255167292) · Data from the CMS NPPES public registry.