Donna E Dudziak, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A87866 Issued in CA

Practice address

901 San Bernardino Rd
Ste 301
Upland, CA 91786-4912

Phone

(909) 946-6221

Fax

(909) 949-3802

NPI assigned

Sep 20, 2006

Last updated

May 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Donna E Francis Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallace G Gosney MD and Gilbert R Turner MD PTRSGroup PAC ID 8224067616, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score

80.7 of 100Reported as group

Quality

31.67

Promoting interoperability

86

Improvement activities

40

Cost

82.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Wallace G Gosney MD & Gilbert R Turner MD PTRS

  dba Upland Surgical Associates

  • Surgery Physician
  • Upland, CA
  • NPI 1376569657
  Medicare reassignment Care Compare group
• Chaparral Medical Group, Inc.

  • Dermatology Physician
  • Rancho Cucamonga, CA
  • NPI 1093777666

  Surgery

  Medicare reassignment NPD
• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624
  Medicare reassignment NPD
• Pacific Minimally Invasive Surgeons, Inc

  • Surgery Physician
  • San Dimas, CA
  • NPI 1760681043
  NPD (past) Authorized official
• Chaparral Medical Group Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Pomona, CA
  • NPI 1114989241
  NPD
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605

  Surgery

  NPD
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1831442078
  NPD

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

• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1275630568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD",
            "address_2": "STE 301",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864912",
            "telephone_number": "909-946-6221",
            "fax_number": "909-949-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD",
            "address_2": "STE 301",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864912",
            "telephone_number": "909-946-6221",
            "fax_number": "909-949-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZIAK",
        "first_name": "DONNA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A87866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "FRANCIS",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynne Anne Drewes, PA
• Ethan Du
• Joanna Du, M.D.
• Laurie Dubellay - Ortiz
• Roger Dennis Duber, DO
• Dulce R de Castro M D a Professional Corporation
• Tanya Elizabeth Dumas
• Myesha Nicole Dunn, M.A.
• Enrique Madrid Duran, MFT PRE-LICENSED
• Danella Durango-Perez

• Surgery Physician in Upland, CA
• Providers in Upland, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.