DR. IAROSLAV KONDRIUK (MD) – Internal Medicine Physician, NPI 1518583046

DR. IAROSLAV KONDRIUK (MD) is a healthcare provider. based in Saint cloud, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 78202 (MN). The NPI Number for DR. IAROSLAV KONDRIUK (MD) is 1518583046

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAROSLAV KONDRIUK (MD)
NPI
1518583046
Phone
Not provided
Address
PO BOX 2132
Enumeration Date
20 June 2020
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202525131
Graduation Year
2020 (6 years ago)
PAC ID
4183047483
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20250331001938
Address ID
MN563032735ST1200XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for DR. IAROSLAV KONDRIUK (MD)

  • PO BOX 2132

    SAINT CLOUD, MN 563022132

    Phone:

    Type: Mailing

  • PO BOX 73

    DANVILLE, PA 17821

    Phone:

    Type: Mailing

  • 100 N ACADEMY AVE

    DANVILLE, PA 178229800

    Phone: (570) 271-6211

    Type: Location

  • 1406 6TH AVE N

    SAINT CLOUD, MN 563031900

    Phone: (320) 251-2700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: UCB, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$23
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: 2025-03-31

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
I20250331001938IInternal MedicineMNTBD

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 56302)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

How is DR. IAROSLAV KONDRIUK (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. IAROSLAV KONDRIUK (MD) with NPI 1518583046.
Can I rely on DR. IAROSLAV KONDRIUK (MD) being an active provider?
As of the registry snapshot, DR. IAROSLAV KONDRIUK (MD) is marked active.
What is DR. IAROSLAV KONDRIUK (MD) best known for clinically?
Directory data describes DR. IAROSLAV KONDRIUK (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. IAROSLAV KONDRIUK (MD)?
DR. IAROSLAV KONDRIUK (MD)'s geographic hint is Saint Cloud, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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