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DR. KELLY THOMAS WOYEWODZIC M.D.
NPI 1962568840
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since December 28, 2006Opted out of Medicare · through Aug 20, 2026
10323 SANTA MONICA BLVD., SUITE 101, LOS ANGELES, CA 90025(310) 499-1350(310) 360-0868 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Thomas Woyewodzic M.d. NPPES

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

DR. KELLY THOMAS WOYEWODZIC M.D. (NPI 1962568840) is an individual psychiatry provider in Los Angeles, California, licensed in California (92740) and active in the NPI registry since December 2006. He has opted out of Medicare through August 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962568840
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KELLY THOMAS WOYEWODZICCredential: M.D.
Location Address10323 SANTA MONICA BLVD., SUITE 101Los Angeles, CA 90025
Mailing Address10323 Santa Monica Blvd., Suite 101Los Angeles, CA 90025 · (310) 499-1350 · Fax (310) 360-0868
Phone(310) 499-1350
Fax(310) 360-0868
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateDecember 30, 2015
✔ NPI 1962568840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · 92740✔ Licensed in MA · 229504✔ Licensed in CA · A92740
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10323 SANTA MONICA BLVD., Los Angeles, CA 90025
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Other Names 1

Other Name (5)Dr. Kelly Thomas Azar-woyewodzic M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Thomas Woyewodzic M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2018 through August 20, 2026.

Opt-Out Effective DateAugust 20, 2018
Opt-Out In Effect ThroughAugust 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. WAYNE C SANDLER M.D.
Psychiatry & Neurology (Psychiatry)
10323 SANTA MONICA BLVD., SUITE 101
LOS ANGELES, CA 90025
Los Angeles County (310) 556-0263

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 Kelly Woyewodzic's NPI number?

The NPI number for Kelly Woyewodzic is 1962568840. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Dr. Kelly Thomas Azar-Woyewodzic M.D..

Where is Kelly Woyewodzic located?

Kelly Woyewodzic practices at 10323 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025. The listed phone number is (310) 499-1350.

What is Kelly Woyewodzic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelly Woyewodzic enrolled in Medicare?

No. Kelly Woyewodzic has opted out of Medicare through August 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Woyewodzic was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.