DR. KENNETH EDWARD BODEK M.D. NPI 1871587923

NPI Information

  • NPI: 1871587923
  • Provider Name: DR. KENNETH EDWARD BODEK, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 186 KIMEL PARK DR
    SUITE 400
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 277-2000

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NPI Details

DR. Kenneth Edward Bodek, M.D. is a cardiovascular disease internal medicine in Winston Salem, NC with 39 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Kenneth Edward Bodek, M.D. NPI is 1871587923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

186 KIMEL PARK DR
SUITE 400
WINSTON SALEM, NC
ZIP 27103-946
Phone: (336) 277-2000
Fax: (336) 277-2050

The NPI 1871587923 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Heart muscle strain imaging (HCPCS:93356)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)

The enumeration date for this NPI number is 9/6/2005 and was last updated on 11/15/2023.

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
1207RC0000XInternal MedicineCardiovascular Disease2013-01642NORTH CAROLINAYes
2207RC0000XInternal MedicineCardiovascular DiseaseMD046703LPENNSYLVANIANo
3207UN0901XNuclear MedicineNuclear CardiologyMD046703LPENNSYLVANIANo

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
1024733E15OTHERPENNSYLVANIAMEDICARE
20012804190005MEDICAIDPENNSYLVANIA

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: 3/30/2025

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