Individual provider Active NPI

Denise F. Dudley, M.D.

  • Ophthalmology Physician
  • Bellingham, WA
National Provider Identifier
1356431886
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00038911 Issued in WA
Practice address
3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1945
Phone
(360) 733-4800
Fax
(360) 733-2879
NPI assigned
Oct 13, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00038911 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1945

Mailing address

3015 Squalicum Pkwy
Suite 260
Bellingham, WA 98225-1945
Phone (360) 733-4800

Other identifiers 1

IdentifierTypeStateIssuer
8255572MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040624001044 WA Practitioner - Ophthalmology 9234024399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Clinic Inc., PS CurrentSince Aug 15, 2000 Accepting new patients
Marvin John Grendahl MD a Professional Corp. Ophthalmology Past Accepting new patients
Alaska Childrens Eye and Strabismus LLC Ophthalmology Past Accepting new patients
Northwest Eye Clinic Inc., P.S. PastSince Aug 15, 2000 Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 260
Bellingham, WA 98225
Phone (360) 733-4800

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ACES

Organizations & group practices 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1356431886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "SUITE 260",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-4800",
            "fax_number": "360-733-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "SUITE 260",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-4800",
            "fax_number": "360-733-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "DENISE",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00038911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8255572",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.