Individual provider Active NPI

Robert S Dudnick, MD

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1295833630
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD045109E Issued in PA
Practice address
5401 Old York Rd
Klein, Suite 202
Philadelphia, PA 19141-3030
Phone
(215) 456-8210
Fax
(215) 329-1085
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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 MD045109E PA Primary

Addresses

Primary practice location

5401 Old York Rd
Klein, Suite 202
Philadelphia, PA 19141-3030

Mailing address

5401 Old York Rd
Klein, Suite 202
Philadelphia, PA 19141-3030
Phone (215) 456-8210

Other identifiers 1

IdentifierTypeStateIssuer
05154105001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070917000616 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 5799879052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 349-8222

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Sep 1, 2023 Accepting new patients
University of Penn - Medical Group Gastroenterology CurrentSince Sep 1, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 10, 2007 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 10, 2007 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Broad & Joseph Associates Gastroenterology Past Accepting new patients

Locations

700 W Germantown Pike
Ste 101
Norristown, PA 19403
Phone (610) 233-3660

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

3400 Spruce St
Fl 3
Philadelphia, PA 19104

230 W Washington Sq
Fl 4
Philadelphia, PA 19106
Phone (215) 829-3561

3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618

3737 Market St
Fl 11
Philadelphia, PA 19104
Phone (215) 662-8900

5401 Old York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 324-3399

5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Interoperability endpoints

  • Direct secure messaging: robert.dudnick@direct.einstein.edu

Organizations & group practices 7

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1295833630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLEIN, SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-8210",
            "fax_number": "215-329-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLEIN, SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-8210",
            "fax_number": "215-329-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDNICK",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD045109E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05154105001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.