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KUDOS MEDICAL PLLC
NPI 1801303532
Internal Medicine in Chittenango, NY

Active since January 03, 2018CLIA Certified · 2 labs
304 GENESEE ST, CHITTENANGO, NY 13037(315) 687-6467(315) 251-2240 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kudos Medical Pllc NPPES

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

KUDOS MEDICAL PLLC (NPI 1801303532) is a healthcare organization registered as an internal medicine in Chittenango, New York and active in the NPI registry since January 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in De Witt, and lists Ifechukwude Ojugbeli, Owner, as its authorized official.

NPPES Registry Identity

NPI1801303532
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKUDOS MEDICAL PLLC
Location Address304 GENESEE STChittenango, NY 13037-1707
Mailing Address304 Genesee StChittenango, NY 13037-1707 · (315) 687-6467 · Fax (315) 251-2240
Phone(315) 687-6467
Fax(315) 251-2240
Organization SubpartNo
Authorized OfficialIfechukwude OjugbeliOwner · (315) 687-6467
Enumeration DateJanuary 3, 2018
Last NPPES UpdateMarch 17, 2018
✔ NPI 1801303532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 209777
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
304 GENESEE ST, Chittenango, NY 13037
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Secondary Practice Location 1

Location 13709 Erie Blvd EDE Witt, NY 13214-2227 · Phone (315) 251-2244 · Fax (315) 251-2240

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kudos Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kudos Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Ifechukwude Ojugbeli, MD
Internal Medicine
NPI 1710059530
304 GENESEE STREET
Chittenango, NY 13037
(315) 687-6467
✔ PECOSSame address
Roberta Countryman, FNP
Nurse Practitioner
NPI 1295441640
3709 ERIE BLVD E
Syracuse, NY 13214
(315) 251-2244
✔ PECOS10 mi
James Riccelli, PT., ECS, CERT MDT
Physical Therapist in Private Practice
NPI 1417927682
4939 BRITTONFIELD PKWY
E Syracuse, NY 13057
(315) 234-7322
10 mi
Midzy Lysius, NP
Nurse Practitioner
NPI 1174995658
725 EAST ADAMS STREET
Syracuse, NY 13210
(315) 464-4842
✔ PECOS14 mi
Jessica Dlugolecki, NURSE PRACTITIONER
Nurse Practitioner
NPI 1841867603
304 GENESEE ST
Chittenango, NY 13037
(315) 687-6467
✔ PECOS

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0165399

Kudos Medical PLLC · Chittenango, NY
Active · expires Oct 31, 2027
CLIA Number33D0165399
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Ifechukwude O. Ojugbeli
Laboratory Phone(315) 687-6467
Laboratory LocationKudos Medical PLLC304 Genesee Street, Chittenango, NY 13037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 33D2031473

Kudos Medical PLLC · Dewitt, NY
Active · expires Oct 19, 2027
CLIA Number33D2031473
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorDr. Ifechukwude O. Ojugbeli
Laboratory Phone(315) 251-2244
Laboratory LocationKudos Medical PLLC3709 Erie Blvd, East, Dewitt, NY 13214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kudos Medical PLLC's NPI number?

The NPI number for Kudos Medical PLLC is 1801303532. It was assigned to this organization in the NPPES registry on January 3, 2018.

Where is Kudos Medical PLLC located?

Kudos Medical PLLC is located at 304 Genesee St, Chittenango, NY 13037. The listed phone number is (315) 687-6467.

What is Kudos Medical PLLC's specialty?

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

Is Kudos Medical PLLC enrolled in Medicare?

Yes. Kudos Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kudos Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Kudos Medical PLLC. 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. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Physical Therapist in Private Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kudos Medical PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kudos Medical PLLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.