DR. FRED J KUDRIK MD NPI 1104807668

NPI Information

  • NPI: 1104807668
  • Provider Name: DR. FRED J KUDRIK, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 166 STONERIDGE DR
    COLUMBIA, SC
    ZIP 29210
  • Phone: (803) 461-3000

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NPI Details

DR. Fred J Kudrik, MD is a hematology and oncology internal medicine in Columbia, SC with 29 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Fred J Kudrik, MD NPI is 1104807668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1997

The provider's business location address is:

166 STONERIDGE DR
COLUMBIA, SC
ZIP 29210-239
Phone: (803) 461-3000
Fax: (803) 461-4910

The NPI 1104807668 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, ferric carboxymaltose, 1 mg (HCPCS:J1439)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, darbepoetin alfa, 1 microgram (non-esrd use) (HCPCS:J0881)
  • Injection, pembrolizumab, 1 mg (HCPCS:J9271)
  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Injection, aprepitant, 1 mg (HCPCS:J0185)
  • Injection, granisetron, extended-release, 0.1 mg (HCPCS:J1627)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Liver function blood test panel (HCPCS:80076)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, pegfilgrastim, excludes biosimilar, 0.5 mg (HCPCS:J2506)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • Lactate dehydrogenase (enzyme) level (HCPCS:83615)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 (HCPCS:86300)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less (HCPCS:96367)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Infusion, normal saline solution, sterile (500 ml = 1 unit) (HCPCS:J7040)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Gammaglobulin (immune system protein) measurement (HCPCS:82784)
  • Injection, carboplatin, 50 mg (HCPCS:J9045)
  • Carcinoembryonic antigen (cea) protein level (HCPCS:82378)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96401)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Administration of additional new drug or substance into vein, 1 hour or less (HCPCS:96417)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Red blood count, manual test (HCPCS:85044)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Application of on-body injector for under skin injection (HCPCS:96377)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Infusion into a vein for therapy, prevention, or diagnosis, each additional hour (HCPCS:96366)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Blood test, clotting time (HCPCS:85610)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of additional new drug or substance into vein using push technique (HCPCS:96411)
  • Unclassified drugs (HCPCS:J3490)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9 (HCPCS:86301)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Folic acid level, serum (HCPCS:82746)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Urinalysis using microscope (HCPCS:81015)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Magnesium level (HCPCS:83735)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Immunologic analysis for detection of tumor antigen, quantitative; ca 125 (HCPCS:86304)
  • Complete x-ray of body bones (HCPCS:77075)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 11/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology22933SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16275OTHERSOUTH CAROLINAMCARE GROUP#
2229336MEDICAIDSOUTH CAROLINA
3H11523MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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