DR. ROMAN KOLDAYEV M.D.
NPI 1790766970
Internal Medicine in Lawrence, NY

Q: What is Roman Koldayev's NPI number?

The NPI number for Roman Koldayev is 1790766970. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Roman Koldayev's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roman Koldayev was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment

215 ROCKAWAY TPKE, LAWRENCE, NY 11559(516) 374-5024(516) 374-5816 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Roman Koldayev M.d. NPPES

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

DR. ROMAN KOLDAYEV M.D. (NPI 1790766970) is an individual internal medicine provider in Lawrence, New York, licensed in New York (206990) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1790766970

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ROMAN KOLDAYEVCredential: M.D.

Location Address215 ROCKAWAY TPKELawrence, NY 11559-1216

Mailing Address215 Rockaway TpkeLawrence, NY 11559-1216 · (516) 374-5024 · Fax (516) 374-5816

Phone(516) 374-5024

Fax(516) 374-5816

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 7, 2005

Last NPPES UpdateMarch 19, 2012

✔ NPI 1790766970 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 · 206990

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.

215 ROCKAWAY TPKE, Lawrence, NY 11559

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Other Identifiers 3

Medicare UPING52606NY

Medicaid01782470NY

Medicare ID-Type Unspecified25N151NY

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. Roman Koldayev 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 ID2264411719

PECOS Enrollment IDI20040717000168

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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,180 services186 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

580 services172 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

369 services131 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

75 services52 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330395

Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11559 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims 36

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

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims252 services$2.58 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers81 claims81 services$23.26 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$4.39 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers83 claims85 services$9.26 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier15 claims30 services$5.64 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4410

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$8.69 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each A4411

DME-Orthotic Devices · category DF010N

1 supplier12 claims12 services$4.92 avg. paid by Medicare

Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each A4412

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$2.61 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

5 suppliers115 claims4,192 services$6.32 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

4 suppliers16 claims1,310 services$2.14 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

3 suppliers12 claims60 services$3.53 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

5 suppliers110 claims3,245 services$4.38 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers11 claims22 services$60.84 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims387 services$7.12 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims149 services$9.36 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims486 services$0.93 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

3 suppliers15 claims48 services$6.24 avg. paid by Medicare

Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007

DME-Other DME · category DE000N

3 suppliers12 claims16 services$2.28 avg. paid by Medicare

Water collection device, used with large volume nebulizer A7012

DME-Other DME · category DE000N

3 suppliers12 claims24 services$2.34 avg. paid by Medicare

Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each A7521

DME-Orthotic Devices · category DF000N

3 suppliers31 claims31 services$45.58 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

5 suppliers74 claims1,440 services$3.27 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

4 suppliers18 claims473 services$2.46 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers804 claims7,092 services$4.18 avg. paid by Medicare

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier48 claims338 services$3.35 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers327 claims37,893 services$0.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

3 suppliers403 claims57,721 services$0.27 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

2 suppliers57 claims6,678 services$0.94 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

3 suppliers57 claims11,778 services$0.54 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers59 claims67 services$47.69 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.37 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

3 suppliers27 claims27 services$14.45 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier21 claims21 services$923.57 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers173 claims181 services$4.67 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

3 suppliers27 claims27 services$65.85 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers56 claims56 services$12.66 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers18 claims18 services$5.58 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 15

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

STEVEN JACOBS P.A.

Physician Assistant (Medical)

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

MR. SAM JIN YEE M.D.

Physical Medicine & Rehabilitation

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

DR. NEIL SMITH M.D.

Family Medicine

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

MR. PHILIP LOWENSTEIN P.A.

Physician Assistant

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

BIANA MILLER PA

Physician Assistant

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

MS. AUDREY SANSCULOTTE ANP

Nurse Practitioner (Adult Health)

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

MATTEO SPERA M.D.

Family Medicine

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

DR. ALAN JONAH WIEDER MD

Internal Medicine

215 ROCKAWAY TPKE
LAWRENCE, NY 11559

Nassau County (516) 374-5024

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's NPI number?

The NPI number for Roman Koldayev is 1790766970. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Roman Koldayev located?

Roman Koldayev practices at 215 Rockaway Tpke, Lawrence, NY 11559. The listed phone number is (516) 374-5024.

What is Roman Koldayev's specialty?

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

Is Roman Koldayev enrolled in Medicare?

Yes. Roman Koldayev 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 Roman Koldayev affiliated with any hospitals?

According to CMS data, Roman Koldayev is affiliated with St Peter's Hospital, Ellis Hospital and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Roman Koldayev was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.