1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Oral Maxillofacial Surgery
  6. NPI Profile

DR. MICHAEL THOMAS KOLODYCHAK D.M.D.
NPI 1376519181
Oral & Maxillofacial Surgery in Erie, PA

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
4600 ZUCK RD, ERIE, PA 16506(814) 838-2144(814) 838-7227 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2021, Nov 29, 2017, Jun 22, 2017 (3 updates tracked since 2017).

About Dr. Michael Thomas Kolodychak D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL THOMAS KOLODYCHAK D.M.D. (NPI 1376519181) is an individual oral & maxillofacial surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (DS029985L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1376519181
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MICHAEL THOMAS KOLODYCHAKCredential: D.M.D.
Location Address4600 ZUCK RDErie, PA 16506-4932
Mailing Address4600 Zuck RdErie, PA 16506-4932 · (814) 838-2144 · Fax (814) 838-7227
Phone(814) 838-2144
Fax(814) 838-7227
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJune 21, 20213 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1376519181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in PA · DS029985L
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DS029985L (PA)
4600 ZUCK RD, Erie, PA 16506
Open in Google Maps ↗

Other Identifiers 1

OtherDS029985LPA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life.Insurance ›

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

Dr. Michael Thomas Kolodychak D.m.d. 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.

PECOS PAC ID6709780273
PECOS Enrollment IDI20031125000826
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARMANINI, KOLODYCHAK, & BASILE, L.L.P.
Oral & Maxillofacial Surgery
4600 ZUCK RD
ERIE, PA 16506
Erie County (814) 838-2144
DR. TIMOTHY JOSEPH ARMANINI D.D.S.
Oral & Maxillofacial Surgery
4600 ZUCK RD
ERIE, PA 16506
Erie County (814) 838-2144
DR. JOHN DAVID BASILE DMD
Oral & Maxillofacial Surgery
4600 ZUCK RD
ERIE, PA 16506
Erie County (814) 838-2144

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 Michael Kolodychak's NPI number?

The NPI number for Michael Kolodychak is 1376519181. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Michael Kolodychak located?

Michael Kolodychak practices at 4600 Zuck Rd, Erie, PA 16506. The listed phone number is (814) 838-2144.

What is Michael Kolodychak's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Kolodychak enrolled in Medicare?

Yes. Michael Kolodychak 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.

What insurance does Michael Kolodychak accept?

Health plans from Florida Combined Life list Michael Kolodychak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Kolodychak affiliated with any hospitals?

According to CMS data, Michael Kolodychak is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Michael Kolodychak was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.