ROMAN KOLDAYEV MEDICAL P C
NPI 1649604810
Internal Medicine in Oceanside, NY
About Roman Koldayev Medical P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROMAN KOLDAYEV MEDICAL P C (NPI 1649604810) is a healthcare organization registered as an internal medicine in Oceanside, New York and active in the NPI registry since August 2013. The organization lists Roman Koldayev, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roman Koldayev Medical P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Roman Koldayev Medical P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Roman Koldayev Medical P C's NPI number?
The NPI number for Roman Koldayev Medical P C is 1649604810. It was assigned to this organization in the NPPES registry on August 24, 2013.
Where is Roman Koldayev Medical P C located?
Roman Koldayev Medical P C is located at 310 Woods Ave, Oceanside, NY 11572. The listed phone number is (718) 909-7665.
What is Roman Koldayev Medical P C's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Roman Koldayev Medical P C enrolled in Medicare?
Yes. Roman Koldayev Medical P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roman Koldayev Medical P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Roman Koldayev Medical P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Roman Koldayev Medical P C was last updated on August 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Roman Koldayev Medical P C · NPI 1649604810
Internal Medicine organization in Oceanside, New York. Organization record, active in the CMS NPPES registry since August 24, 2013.
## Identity
- **NPI:** 1649604810 (Entity type: Organization)
- **Enumerated:** August 24, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Roman Koldayev, PRESIDENT
## Practice location
- **Address:** 310 WOODS AVE, Oceanside, NY 11572-2146
- **Phone:** (718) 909-7665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1649604810) · Data from the CMS NPPES public registry.