Individual provider Active NPI

Christopher Dudro, M.D.

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1316051105
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD440012 Issued in PA
Practice address
4721 McKnight Rd
Suite 209N
Pittsburgh, PA 15237-3415
Phone
(412) 366-5550
Fax
(412) 366-7044
NPI assigned
Aug 18, 2006
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD440012 PA Primary

Addresses

Primary practice location

4721 McKnight Rd
Suite 209N
Pittsburgh, PA 15237-3415

Mailing address

4721 McKnight Rd
Suite 209N
Pittsburgh, PA 15237-3415
Phone (412) 366-5550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdudro97063@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD440012PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1316051105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "SUITE 209N",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-366-5550",
            "fax_number": "412-366-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "SUITE 209N",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-366-5550",
            "fax_number": "412-366-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDRO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD440012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdudro97063@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4721 McKnight Rd",
            "address_2": "Suite 209N",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152373415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.