DR. TODD EDWARD KOUDELKA (D.C.) – Rehabilitation Chiropractor, NPI 1972678407

DR. TODD EDWARD KOUDELKA (D.C.) is a healthcare provider. based in Sugar land, Texas. specializing in CHIROPRACTIC, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.C.. They hold a License No. 10355 (TX). The NPI Number for DR. TODD EDWARD KOUDELKA (D.C.) is 1972678407

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD EDWARD KOUDELKA (D.C.)
NPI
1972678407
Phone
(281) 229-0612
Address
15200 SOUTHWEST FWY
Enumeration Date
21 November 2006
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2819037008
Graduation Year
2006 (20 years ago)
PAC ID
4981870409
Professional Enrollment ID
I20120105000359
Address ID
TX774783865SU15200FWYX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

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Provider Addresses for DR. TODD EDWARD KOUDELKA (D.C.)

  • Irena Pankiewicz, MD, 15200, Southwest Freeway, Paynes, Sugar Land, Fort Bend County, Texas, 77478, United States

    SUITE 295

    SUGAR LAND, TX 774783845

    Phone: (281) 229-0612

    Fax: (281) 412-4629

    Type: Location

  • 15200 SOUTHWEST FWY STE 295

    SUGAR LAND, TX 774783865

    Phone: (281) 903-7008

    Fax: (281) 903-7877

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2012-01-05

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
I20120105000359IChiropracticTXTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions15426$0
View full utilization report →

Insurance plans in this area (ZIP 77478)

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Reviews

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Frequently asked questions

How do I look up DR. TODD EDWARD KOUDELKA (D.C.) by NPI?
Use NPI 1972678407 when you need to reference DR. TODD EDWARD KOUDELKA (D.C.) in forms, claims, or directories.
Is DR. TODD EDWARD KOUDELKA (D.C.) active in the national directory?
DR. TODD EDWARD KOUDELKA (D.C.)'s public NPI profile is in an active state.
Does DR. TODD EDWARD KOUDELKA (D.C.) list a primary specialty?
If you are matching referrals, note Rehabilitation Chiropractor for DR. TODD EDWARD KOUDELKA (D.C.). Clinical services aligned with this taxonomy classification.
What location shows for DR. TODD EDWARD KOUDELKA (D.C.)?
We surface Sugar Land, Texas for DR. TODD EDWARD KOUDELKA (D.C.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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