Individual provider Active NPI

Gary Dudek, MD

  • Pulmonary Disease Physician
  • Rochester, NY
National Provider Identifier
1346275922
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
177167 Issued in NY
Practice address
400 Red Creek Dr
Suite 110
Rochester, NY 14623-4273
Phone
(585) 486-0147
Fax
(585) 486-0673
NPI assigned
Jul 11, 2006
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 177167 NY Primary

Addresses

Primary practice location

400 Red Creek Dr
Suite 110
Rochester, NY 14623-4273

Mailing address

100 Kings Hwy S
Box Med
Rochester, NY 14617-5504
Phone (585) 922-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040507000921 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7810986650 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 6, 2014 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2016 Accepting new patients
Rochester General Hospital Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Aug 1, 2014 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2016 Accepting new patients
Allergy - Immunology - Rheumatology Clinical Group PastSince Oct 1, 2015 Accepting new patients
Mary M Parkes Asthma & Pulmonary Pulmonary Disease PastSince Jan 1, 2008 Accepting new patients
Partners in Internal Medicine, LLP Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1445 Portland Ave
Ste 301
Rochester, NY 14621
Phone (585) 922-4874

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

30 Hagen Dr
Ste 310
Rochester, NY 14625
Phone (585) 641-0400

Organizations & group practices 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1346275922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "address_2": "BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1318",
            "fax_number": "585-922-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-486-0147",
            "fax_number": "585-486-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "177167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.