MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1104328186

MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) is a healthcare provider. based in Baldwinsville, New York. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN, BSN, MSN, CRNA. They hold a License No. 645646 (NY). The NPI Number for MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) is 1104328186

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA)
NPI
1104328186
Phone
(315) 256-8038
Address
3325 MISTY COVE CIR
Enumeration Date
6 March 2018
Last Update Date
29 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3154523235
Graduation Year
2018 (8 years ago)
PAC ID
7810324308
Group Practice PAC ID
3072505411
Professional Enrollment ID
I20200221002010
Address ID
NY130884866LI5112XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,475 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NY

Loading map...

Provider Addresses for MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA)

  • 3325 MISTY COVE CIR

    BALDWINSVILLE, NY 130279277

    Phone: (315) 256-8038

    Type: Mailing

  • Crouse Hospital, 736, Irving Avenue, University Hill, Syracuse, Onondaga County, New York, 13210, United States

    SYRACUSE, NY 13210

    Phone: (315) 470-7111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-02-21

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
I20200221002010ICertified Registered Nurse Anesthetist (Crna)NYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope4545$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2423$0
00812Anesthesia for exam of colon using an endoscope1818$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 13027)

Loading plans...

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: 3072505411View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)NY
Physician AssistantNY
Certified Registered Nurse Anesthetist (Crna)FL
G A S T R O E N T E R O L O G YNY
-NY
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA)?
For MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA), use NPI 1104328186 as the unique 10-digit identifier.
Is MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) still an active registrant?
MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) carries an active NPI according to the public dataset.
How would a patient describe MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA)'s focus?
For MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in New York is MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) registered?
Use Baldwinsville, New York as the headline location for MR. KENNETH J. III CUDA (RN, BSN, MSN, CRNA) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

EVE ZACHARAKOS (CRNA)

Certified Registered Nurse Anesthetist
Box, Via Antonio Ascari, Syracuse, Siracusa, Sicily, Italy
NPI: 1144223991

PEI SAN HUANG (CRNA)

Certified Registered Nurse Anesthetist
Harlem Road, Snyder, Amherst, Erie County, New York, 14226, United States
NPI: 1033113931

WILLIAM SILVERS (CRNA)

Certified Registered Nurse Anesthetist
Box, Via Antonio Ascari, Syracuse, Siracusa, Sicily, Italy
NPI: 1548264468

DORIS ELAINE GRIMES (CRNA)

Certified Registered Nurse Anesthetist
Box, Via Antonio Ascari, Syracuse, Siracusa, Sicily, Italy
NPI: 1871597724

ANN MARIE KAKAVAND (CRNA)

Certified Registered Nurse Anesthetist
1685 HOPKINS RD
NPI: 1770587628