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DR. ANDREW RICHARD KOLODZIEJ M.D.
NPI 1750519369
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Cincinnati, OH

Active since June 23, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3219 CLIFTON AVE STE 400, CINCINNATI, OH 45220(513) 246-2343(513) 865-9916 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Aug 22, 2017, Jul 2, 2017 (3 updates tracked since 2017).

About Dr. Andrew Richard Kolodziej M.d. NPPES

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

DR. ANDREW RICHARD KOLODZIEJ M.D. (NPI 1750519369) is an individual advanced heart failure and transplant cardiology provider in Cincinnati, Ohio, licensed in Ohio (35.155895) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1750519369
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. ANDREW RICHARD KOLODZIEJCredential: M.D.
Location Address3219 CLIFTON AVE STE 400Cincinnati, OH 45220-3049
Mailing Address3219 Clifton Ave Ste 400Cincinnati, OH 45220-3049 · (513) 246-2343 · Fax (513) 865-9916
Phone(513) 246-2343
Fax(513) 865-9916
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2009
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1750519369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
Licenses✔ Licensed in OH · 35.155895✔ Licensed in KY · 46098
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 46098 (KY)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 46098 (KY)
3219 CLIFTON AVE STE 400, Cincinnati, OH 45220
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Secondary Practice Location 1

Location 1Division Of Cardiology 900 S Limestone 320Lexington, KY 40536-3815 · Phone (859) 323-0295

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Richard Kolodziej 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 ID749443620
PECOS Enrollment IDI20170802001697, I20260512004226
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

2

Medicare enrollment records show Andrew Kolodziej reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC
Same address
Internal Medicine
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1659783793 (513) 862-1400
Kentucky Medical Services Foundation, Inc
79 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services44 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
43 services40 patients
Insertion of tube in right heart chambers for measurement 93451
This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.
32 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Biopsy of heart muscle 93505
A biopsy of the heart muscle is a procedure where a small piece of heart tissue is taken for examination. This helps doctors identify heart diseases or abnormalities. The procedure involves inserting a thin tube through a vein and into the heart, under local anesthesia.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
5 suppliers169 claims219 services$18.33 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
5 suppliers274 claims1,064 services$34.71 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers18 claims32 services$6.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers33 claims33 services$18.01 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier29 claims29 services$195.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers39 claims39 services$98.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KONSTANTIN GERMAN MD
Internal Medicine (Cardiovascular Disease)
3219 CLIFTON AVE STE 400
CINCINNATI, OH 45220
Hamilton County (513) 246-2400
DR. KAMAL SHEMISA MD
Internal Medicine (Cardiovascular Disease)
3219 CLIFTON AVE STE 400
CINCINNATI, OH 45220
Hamilton County (513) 569-6647
PETAR SARIC MD
Internal Medicine (Cardiovascular Disease)
3219 CLIFTON AVE STE 400
CINCINNATI, OH 45220
Hamilton County (513) 246-4021

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 Andrew Kolodziej's NPI number?

The NPI number for Andrew Kolodziej is 1750519369. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Andrew Kolodziej located?

Andrew Kolodziej practices at 3219 Clifton Ave Ste 400, Cincinnati, OH 45220. The listed phone number is (513) 246-2343.

What is Andrew Kolodziej's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Andrew Kolodziej enrolled in Medicare?

Yes. Andrew Kolodziej 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.

Which organizations bill Medicare for Andrew Kolodziej's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kolodziej reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Andrew Kolodziej's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Kolodziej accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Andrew Kolodziej 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 Andrew Kolodziej affiliated with any hospitals?

According to CMS data, Andrew Kolodziej is affiliated with University Of Kentucky Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Andrew Kolodziej was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.