Individual provider Active NPI

David A Dudley, MD

  • Gastroenterology Physician
  • Norfolk, NE
National Provider Identifier
1154331841
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17577 Issued in NE
Practice address
3901 W Norfolk Ave Ste D
Norfolk, NE 68701-9218
Phone
(402) 844-8000
Fax
(402) 844-8047
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 17577 NE Primary

Addresses

Primary practice location

3901 W Norfolk Ave Ste D
Norfolk, NE 68701-9218

Mailing address

3901 W Norfolk Ave Ste D
Norfolk, NE 68701-9218
Phone (402) 844-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000948 NE Practitioner - GastroenterologyPractitioner - Internal Medicine 4688669344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NMG LLCGroup PAC ID 4981632544, 9 clinicians

Practice addresses (Care Compare)

3901 W Norfolk Ave
Suite D
Norfolk, NE 68701-9218
Phone (402) 844-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.93 of 100Reported as individual
Quality
90.41
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Point Laboratory LLC CurrentSince Aug 25, 2019 Accepting new patients
NMG LLC Gastroenterology CurrentSince Sep 1, 2005 Accepting new patients

Locations

901 S 4th St
Battle Creek, NE 68715
Phone (402) 675-2955

102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151

3901 W Norfolk Ave
Ste D
Norfolk, NE 68701
Phone (402) 844-8000

3901 W Norfolk Ave
Ste B
Norfolk, NE 68701
Phone (402) 844-8016

301 N 27th St
Ste 1
Norfolk, NE 68701
Phone (402) 844-8000

Interoperability endpoints

  • Direct secure messaging: david.dudley.p1@direct.nmg25.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1154331841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE STE D",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687019218",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE STE D",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687019218",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "17577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.