Phil James Nyderek

Contractor - Home Modifications • Greenup, KY

Active NPI 1194984443 Individual Practitioner Male Practitioner

Practice location in NPPES

103 Ashmoore Drive
Greenup, KY 41144

Call 7408216973 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Phil Nyderek is listed in NPPES under Contractor - Home Modifications.
NPI assigned on June 3, 2008; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

103 Ashmoore Drive

Greenup, KY 41144

Telephone 7408216973

Fax 6064731389

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Contractor - Home Modifications: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Greenup and Kentucky

1 active clinicians are listed under Contractor - Home Modifications with a practice address in Greenup, KY (8 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Contractor - Home Modifications Primary Specialty

NUCC Taxonomy Code: 171WH0202X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID

2778632 (OH)

Career & Practice History

NPI enumerated June 03, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1194984443

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 03, 2008

Last Update: May 12, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

103 Ashmoore Drive

Greenup, KY 41144

Phone: 7408216973

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.