Look up the most recent NPI and PECOS records

Nicholas Klimchak

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Klimchak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1467814848
Provider Type
Individual
Full Name
Klimchak, Nicholas
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/24/2016
Last Updated
7/29/2019

Contact Information

Practice Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 852-8980

Unlisted Fax

Mailing Location

913 N Dixie Ave, Elizabethtown, KY 42701-2599

(270) 706-1212

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 52692 Kentucky

Nicholas Klimchak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Madahar, Shaun

Sensing, Zachery T

Dunlavy, Bradley

Quisenberry, Thomas Eric

Siddiqi, Kamran

Meyer, Michael Steven

Elrod, Jeffrey Mark

Zavery, Arham Ashraf

Hannah, Benjamin

Matar, Christian