Individual provider Active NPI

Christian P Dudenhoefer, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1518921014
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD043235L Issued in PA
Practice address
1101 Peninsula Dr Ste 202
Erie, PA 16505-4169
Phone
(814) 833-5381
Fax
(814) 833-5387
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD043235L PA Primary

Addresses

Primary practice location

1101 Peninsula Dr Ste 202
Erie, PA 16505-4169

Mailing address

2059 W 8TH St
Erie, PA 16505-4741
Phone (814) 459-6777

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
I20091215000218 PA Practitioner - Family Practice 3678507100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
82.26
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Physicians Network-Upmc,Inc Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Epn Hamot Urgent Care LLC Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
Erie Physicians Network PC Past Accepting new patients
Erie Physicians Network PC Past Accepting new patients
Erie Physicians Network, PC Past Accepting new patients

Locations

2059 W 8th St
Erie, PA 16505
Phone (814) 459-6667

1101 Peninsula Dr
Ste 202
Erie, PA 16505
Phone (814) 833-5381

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

3535 Pine Ave
Erie, PA 16504
Phone (814) 454-3363

7200 Peach St
Unit 16
Erie, PA 16509
Phone (814) 860-3301

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1518921014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054741",
            "telephone_number": "814-459-6777",
            "fax_number": "814-459-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PENINSULA DR STE 202",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054169",
            "telephone_number": "814-833-5381",
            "fax_number": "814-833-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDENHOEFER",
        "first_name": "CHRISTIAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043235L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.