NPIMap

Individual provider Active NPI

Andrew Dudas, MD

  • Pain Medicine (Anesthesiology) Physician
  • Memphis, TN
National Provider Identifier
1093245722
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
66271 Issued in TN
Practice address
55 Humphreys Center Dr Ste 200
Memphis, TN 38120-2366
Phone
(901) 747-0040
NPI assigned
Jun 15, 2017
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X LL51274 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 66271 TN Primary

Addresses

Primary practice location

55 Humphreys Center Dr Ste 200
Memphis, TN 38120-2366

Mailing address

PO Box 1000, Dept 2051
Memphis, TN 38148-0001
Phone (901) 747-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220831001323 TN Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4981979598 Reassigns benefits to 1 organization
I20250331002944 MS Practitioner - Anesthesiology 4981979598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Clinic Associates PLLCGroup PAC ID 4486610664, 10 clinicians

Practice addresses (Care Compare)

55 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2366
Phone (901) 747-0040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66271TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Clinic Associates PLLC Anesthesiology CurrentSince Aug 12, 2022 Accepting new patients
Pain Clinic Associates PLLC Anesthesiology CurrentSince Aug 12, 2022 Accepting new patients
Southaven Surgery Center LLC CurrentSince Jan 26, 2025 Accepting new patients
Mays & Schnapp Pain Clinic & Rehabilitation Center Past Accepting new patients

Locations

1111B S Governors Ave
Ste 7510
Dover, DE 19904

7600 Airways Blvd
Ste C
Southaven, MS 38671
Phone (901) 683-4600

7600 Airways Blvd
Ste Cd
Southaven, MS 38671

55 Humphreys Center Dr
Ste 200
Memphis, TN 38120

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1093245722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000, DEPT 2051",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-747-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202366",
            "telephone_number": "901-747-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDAS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "LL51274",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "66271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.