DR. JAMES DANA KONDRUP (M.D) – Gynecology Physician, NPI 1376648337

DR. JAMES DANA KONDRUP (M.D) is a healthcare provider. based in Belfast, Maine. specializing in Gynecology Physician. They hold the professional credentials M.D. They hold a License No. 174463 (NY). The NPI Number for DR. JAMES DANA KONDRUP (M.D) is 1376648337

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES DANA KONDRUP (M.D)
NPI
1376648337
Phone
(941) 207-5330
Address
PO BOX 11393
Enumeration Date
14 September 2006
Last Update Date
14 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9414866927
Graduation Year
1984 (42 years ago)
PAC ID
2365502721
Group Practice PAC ID
7911949466
Professional Enrollment ID
I20190205002887

Contacts

Secure Messaging
james.kondrup.1@4692.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. JAMES DANA KONDRUP (M.D)

  • PO BOX 11393

    BELFAST, ME 049154004

    Phone: (941) 207-5330

    Fax: (941) 207-5346

    Type: Mailing

  • Pointe Loop Drive, Venice Groves, South Venice, Sarasota County, Florida, 34293, United States

    VENICE, FL 342932232

    Phone: (941) 207-5330

    Fax: (941) 207-5346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $31,078.

Total Amount is formed as General ($31,078) + Research ($0) + Ownership ($0) = $31,078.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Ethicon Inc. ($15,550).

Total Amount

$31,078

General + Research + Ownership

Payments

50

Total payment records

General Amount

$31,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081117000017IObstetrics/GynecologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911949466View full group profile

Reviews

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Frequently asked questions

How is DR. JAMES DANA KONDRUP (M.D) identified in CMS data?
CMS-hosted NPPES data lists DR. JAMES DANA KONDRUP (M.D) with NPI 1376648337.
Is DR. JAMES DANA KONDRUP (M.D) listed as active for patients and plans?
The listing shows DR. JAMES DANA KONDRUP (M.D) as active in the NPI system.
What is DR. JAMES DANA KONDRUP (M.D) best known for clinically?
Directory data describes DR. JAMES DANA KONDRUP (M.D) with Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JAMES DANA KONDRUP (M.D) serve?
DR. JAMES DANA KONDRUP (M.D)'s listing highlights Belfast, Maine; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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