DR. JAMES RICHARD KOLODNY M.D.
NPI 1548321839
Internal Medicine in Jamaica, NY

Active since December 12, 2006PECOS Enrolled
84.14/100
CMS Quality Rating
8900 VAN WYCK EXPRESSWAY, DEPARTMENT OF ER, JAMAICA, NY 11418(718) 206-6000 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. James Richard Kolodny M.d. NPPES

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

DR. JAMES RICHARD KOLODNY M.D. (NPI 1548321839) is an individual internal medicine provider in Jamaica, New York, licensed in New York (154453) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1548321839
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES RICHARD KOLODNYCredential: M.D.
Location Address8900 VAN WYCK EXPRESSWAY, DEPARTMENT OF ERJamaica, NY 11418
Mailing Address80 Marcus Drive, Provider Enrollment Jhmc ErMelville, NY 11747 · (631) 391-7700 · Fax (631) 454-4163
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 12, 2006
Last NPPES UpdateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1548321839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 154453
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8900 VAN WYCK EXPRESSWAY, Jamaica, NY 11418

Other Identifiers 1

Medicaid01585377NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Richard Kolodny M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507822285
PECOS Enrollment IDI20041203000933
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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Kolodny reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPRESSWAY
QUEENS, NY 11418
Anesthesiology
8900 VAN WYCK EXPRESSWAY
JAMAICA, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPRESSWAY
QUEENS, NY 11418
Internal Medicine
8900 VAN WYCK EXPRESSWAY
JAMAICA, NY 11418
Surgery
8900 VAN WYCK EXPRESSWAY, SURGICAL SUITE 1ST FLOOR
JAMAICA, NY 11418
Anesthesiology
8900 VAN WYCK EXPRESSWAY, JAMAICA ANESTHESIA ASSOCIATES PC
JAMAICA, NY 11418
Dentist
8900 VAN WYCK EXPRESSWAY, JAMAICA HOSPITAL DENTAL DEPT
JAMAICA, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPRESSWAY, JAMAICA HOSPITAL MEDICAL CENTER
JAMAICA, NY 11418

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 James Kolodny's NPI number?

The NPI number for James Kolodny is 1548321839. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is James Kolodny located?

James Kolodny practices at 8900 Van Wyck Expressway Department Of ER, Jamaica, NY 11418. The listed phone number is (718) 206-6000.

What is James Kolodny's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Kolodny enrolled in Medicare?

Yes. James Kolodny is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Kolodny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kolodny reassigns Medicare benefits to 3 organizations: Jamaica Hospital (Jamaica, NY), Optum Urgent Care, PLLC (Jericho, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Kolodny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Kolodny was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.