Tomasz Sebastian Gregory Fudalewski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

59791 Issued in AZ

Practice address

2360 S Avenue a
Yuma, AZ 85364

Phone

(928) 336-3980

Fax

(928) 336-3946

NPI assigned

Jun 23, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
• Enhabit Home Health Home health agency, Yuma, AZ, CCN 037280
• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Arizona, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Yuma, AZ
  • NPI 1154307924
  Care Compare affiliation
• Eh Home Health of the West, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Yuma, AZ
  • NPI 1962854331
  Care Compare affiliation
• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1003336777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-336-3980",
            "fax_number": "928-336-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 W 24th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853646255",
            "country_code": "US",
            "telephone_number": "928-344-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647118",
            "country_code": "US",
            "telephone_number": "928-336-7095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUDALEWSKI",
        "first_name": "TOMASZ",
        "middle_name": "SEBASTIAN GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1908R76442",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "59791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan French, RN
• Fresenius Medical Care Payson, LLC (Fresenius Kidney Care Yuma)
• Fresenius Medical Care Yuma, LLC (Fresenius Kidney Care Yuma)
• Rachel Amanda Fry, PA-C
• Jordan Frye, PA-C
• Jacqueline Fuentes Camacho, NP
• Steven Charles Funk, M.D.
• Akhil Reddy Gade, MD
• Jean-Phillippe Gagnon, MD
• Natalia Varenka Galarza Carrazco, M.D.

• Family Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.