Amal K Dudar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1314 Issued in AR

Practice address

3101 SE 14TH St
Bentonville, AR 72712-4900

Phone

(479) 250-1053

Fax

(479) 250-0923

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH, KY, IL, AR4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Physician Assistant

Education

University of Toledo College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Northwest Arkansas Ambulatory Services, LLC 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adudar264238@direct.edward.org

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.

• Mercy Northwest Arkansas Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springdale, AR
  • NPI 1366922320

  AR

  Medicare reassignment Care Compare group
• Elmhurst Memorial Healthcare

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454

  IL

  Medicare reassignment NPD
• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1033218128

  IL

  Medicare reassignment NPD
• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033

  OH, Physician Assistant

  Medicare reassignment NPD
• Emergency Medical Associates of Palos, LTD.

  • Emergency Medicine Physician
  • Palos Heights, IL
  • NPI 1285918128

  IL

  Medicare reassignment
• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  IL

  Medicare reassignment
• Norton Hospitals Inc

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  KY

  Medicare reassignment
• Elmhurst Memorial Healthcare

  • Internal Medicine Physician
  • Elmhurst, IL
  • NPI 1497076392
  NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Norton Hospitals, Inc

  • Pain Medicine Physician
  • Louisville, KY
  • NPI 1548152242
  NPD
• The University of Chicago Medical Center

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD
• University of Toledo Physicians LLC

  • Diagnostic Radiology Physician
  • Toledo, OH
  • NPI 1396378261
  NPD

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1013206747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775641",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775641",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SE 14TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124900",
            "telephone_number": "479-250-1053",
            "fax_number": "479-250-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Broadway",
            "address_2": "4th floor",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023700",
            "country_code": "US",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Regency Ct",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233091",
            "country_code": "US",
            "telephone_number": "419-383-5000",
            "fax_number": "419-383-7417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S York St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601265634",
            "country_code": "US",
            "telephone_number": "331-221-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDAR",
        "first_name": "AMAL",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC538",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2136",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003251",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006468",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106942",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amal.dudar.1@9641.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "University of Toledo Physicians LLC",
            "address_1": "1000 Regency Ct",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436233091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adudar264238@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 S York St Ste 2000",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DRS. Nathaniel and Katherine Behrents DDS PC
• David T Drummond, D.D.S
• DTG II PLLC
• Autumn Sierra Ella Ducker
• Jaydee Duda
• Leah Britt Dugal, DPT
• Ganiece Duhaime, LPC
• Zachary Duhamel, PT, DPT, CSCS
• Denise Duke, LCSW
• Diana Rene Dunbar, APRN

• All providers in Bentonville, AR
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.