Michelle R Dudzinski, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

427545 Issued in KS

Practice address

9301 W 74TH St
Suite 130
Shawnee Mission, KS 66204-2207

Phone

(913) 632-9130

Fax

(913) 632-9149

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Saint Luke'S Hospital of Kansas City

  • Prosthetic/Orthotic Supplier
  • Kansas City, MO
  • NPI 1700896958
  NPD (past)
• Saint Lukes Cancer Institute LLC

  • Surgical Oncology Physician
  • Kansas City, MO
  • NPI 1962458901

  Gynecologic Oncology

  NPD (past)
• Saint Lukes Physician Group II LLC

  • Surgery Physician
  • Kansas City, MO
  • NPI 1750335337
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1043266091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST",
            "address_2": "SUITE 130",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042207",
            "telephone_number": "913-632-9130",
            "fax_number": "913-632-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST",
            "address_2": "SUITE 130",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042207",
            "telephone_number": "913-632-9130",
            "fax_number": "913-632-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZINSKI",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "KS",
            "license": "427545",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "100151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160056241",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203448204",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "33677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4408217",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "18093039",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "7400201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell F Dorris, D.P.M.
• Dr Sara M D Chartered
• Dreier & Associates, Inc
• Ronald Joseph Dreier, LSCSW
• Kelsi Maxwell Drummond, MD
• Michael Dye, PMHNP-BC
• Clark Thomas Eddy, DO
• Teresa A. Eden, CRNA
• Sydney Edmisten, MD
• Brenda Christine Edwards, O.D.

• Gynecologic Oncology Physician in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Gynecologic Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.