VISHAL KUDAV – Surgery Physician, NPI 1639551054

VISHAL KUDAV is a healthcare provider. based in Columbia, Missouri. specializing in GENERAL SURGERY. They hold a License No. 2015018173 (MO). The NPI Number for VISHAL KUDAV is 1639551054

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
VISHAL KUDAV
NPI
1639551054
Phone
(573) 884-2000
Address
1 HOSPITAL DR
Enumeration Date
22 June 2015
Last Update Date
1 October 2020

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9523683800
Graduation Year
2015 (11 years ago)
PAC ID
2466765847
Group Practice PAC ID
3678890209
Professional Enrollment ID
I20211008002748
Address ID
MN553182525CH1457XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

787 GENERAL SURGERY in MO

Provider Addresses for VISHAL KUDAV

  • 1 HOSPITAL DR

    MCHANEY HALL 404

    COLUMBIA, MO 652121000

    Phone: (573) 884-2000

    Type: Location

  • 6431 FANNIN STREET

    MSB 4.156

    HOUSTON, TX 770301000

    Phone: (713) 500-7277

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,485.

Total Amount is formed as General ($1,485) + Research ($0) + Ownership ($0) = $1,485.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($926).

Total Amount

$1,485

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2021-10-08

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
I20211008002748IGeneral SurgeryMNTBD

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 65212)

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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: 3678890209View full group profile
NameSpecialtyState
General SurgeryOH
Physician AssistantMN
Gastroenterology, Internal MedicineMN
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN
Internal MedicineIA
Physician AssistantIL
Physician AssistantMN
G A S T R O E N T E R O L O G YMN

Reviews

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Frequently asked questions

How do I look up VISHAL KUDAV by NPI?
Use NPI 1639551054 when you need to reference VISHAL KUDAV in forms, claims, or directories.
Is VISHAL KUDAV currently active in the NPI registry?
CMS-published data lists VISHAL KUDAV as an active registrant.
What kind of provider is VISHAL KUDAV?
The page reflects Surgery Physician for VISHAL KUDAV. Clinical services aligned with this taxonomy classification.
What location shows for VISHAL KUDAV?
We surface Columbia, Missouri for VISHAL KUDAV based on available NPPES addresses.
What if Columbia, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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