Donatas Dudutis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA91112040 Issued in FL

Practice address

1717 Indian River Blvd Ste 202B
Vero Beach, FL 32960-0864

Phone

(772) 213-9800

Fax

(772) 213-9813

NPI assigned

Sep 26, 2017

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Merit-based Incentive Payment System (MIPS)

Final score

48.87 of 100Reported as individual

Quality

61.59

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDFBDD/Endpoint/IDFBDD
• FHIR API: https://fhir4.healow.com/fhir/r4/IEJEDD/Endpoint/IEJEDD

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

• Valant Associates, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1083104681
  Medicare reassignment
• Vero Beach Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Vero Beach, FL
  • NPI 1265484851
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1093224669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 37TH ST STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606567",
            "telephone_number": "772-213-9800",
            "fax_number": "772-213-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 INDIAN RIVER BLVD STE 202B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600864",
            "telephone_number": "772-213-9800",
            "fax_number": "772-213-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDUTIS",
        "first_name": "DONATAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA91112040",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA91112040",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9111040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheronda Denise Drisdom, MSN, ARNP, AOCNP
• DRS Friedenstab & Lum PA
• Amilie Marie Dubois, PSY. D.
• Linda M Dubois, LCSW
• Aaron Steven Dubrinsky, D.O.
• Due Diligence Quality Care LLC
• Susanna Elizabeth Duffany, PTA
• Steephens Dumond
• Joanne Duncanson, P.T.
• James E Dunker, PT

• Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.