INNA KAMINECKI (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1033569058

INNA KAMINECKI (MD) is a healthcare provider. based in Lubbock, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 82332 (GA). The NPI Number for INNA KAMINECKI (MD) is 1033569058

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
INNA KAMINECKI (MD)
NPI
1033569058
Phone
(302) 332-5656
Address
2206 WAYNE AVE
Enumeration Date
21 June 2016
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067758459
Graduation Year
2005 (21 years ago)
PAC ID
7517338635
Group Practice PAC ID
4284617507
Professional Enrollment ID
I20230126002927
Address ID
TX794242274LU11011RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

496 PEDIATRIC MEDICINE in GA

Provider Addresses for INNA KAMINECKI (MD)

  • 2206 WAYNE AVE

    LUBBOCK, TX 794072228

    Phone: (302) 332-5656

    Type: Mailing

  • 1120 15th St

    Augusta, GA 309126303

    Phone: (706) 721-5592

    Type: Location

  • 300 2nd Ave

    Long Branch, NJ 077406303

    Phone: (732) 923-7250

    Fax: (732) 923-9255

    Type: Location

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-4467

    Type: Mailing

  • 602 INDIANA AVE

    LUBBOCK, TX 794153364

    Phone: (806) 775-8200

    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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABIOMED ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$27
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: 2023-01-26

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
I20230126002927IPediatric MedicineTXTBD

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 79407)

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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: 4284617507View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is INNA KAMINECKI (MD)'s NPI number?
INNA KAMINECKI (MD)'s NPI is 1033569058 — the number used across U.S. healthcare to identify this provider.
Is INNA KAMINECKI (MD) shown as active in public data?
Registry records indicate INNA KAMINECKI (MD) maintains an active NPI.
What kind of doctor is INNA KAMINECKI (MD)?
INNA KAMINECKI (MD) is associated with Pediatric Emergency Medicine (Pediatrics) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is INNA KAMINECKI (MD) located near Lubbock?
INNA KAMINECKI (MD) currently maps to Lubbock, Texas in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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