Active NPI
Varner Edward Dudley III, M.D.
- Anesthesiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G55075
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- Fax
- (818) 546-5632
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G55075 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206-4007
Mailing address
225 S Lake Ave
535
Pasadena, CA 91101-3005
Phone (626) 795-6596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G550750 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Alabama College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000
Hospital & facility affiliations
- Glendale Adventist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 78.77
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55075 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants for Anesthesia & Management of Pain | Anesthesiology | Current | Accepting new patients |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| White Memorial Medical Center | Current | Accepting new patients |
Locations
1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- Anesthesiology Physician
- Glendale, CA
- NPI 1952323909
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
-
- Psychiatric Hospital Unit
- Glendale, CA
- NPI 1336138403
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114958592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S LAKE AVE",
"address_2": "535",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013005",
"telephone_number": "626-795-6596",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8000",
"fax_number": "818-546-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "VARNER",
"middle_name": "EDWARD",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G55075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G550750",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.