Active NPI
Gary Dudek, MD
- Pulmonary Disease Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 177167
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Allergy - Immunology - Rheumatology Clinical Group | Past | Accepting new patients | |
| Mary M Parkes Asthma & Pulmonary | Pulmonary Disease | Past | 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.
-
dba Clifton Springs Hospital and Clinic
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1861568594
-
- Allergy & Immunology (Internal Medicine) Physician
- Rochester, NY
- NPI 1497702286
-
- Pulmonary Disease Physician
- Rochester, NY
- NPI 1588610760
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1720049893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.