Individual provider Active NPI

Matthew Thomas Dudley, MD

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1548525611
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A131338 Issued in CA
Practice address
505 Parnassus Ave Ste M917
San Francisco, CA 94143-0624
Phone
(415) 514-3781
Fax
(415) 514-0185
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 3201001683 MI
Critical Care Medicine (Anesthesiology) Physician 207LC0200X A131338 CA
Anesthesiology Physician 207L00000X A131338 CA Primary

Addresses

Primary practice location

505 Parnassus Ave Ste M917
San Francisco, CA 94143-0624

Mailing address

505 Parnassus Ave Ste M917
Box 0624
San Francisco, CA 94143-0624
Phone (415) 514-3781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170707003035 CA Practitioner - Anesthesiology 2062706294 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3201001683MIMDParamedic
A131338CAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2017 Accepting new patients
University Anesthesia Medical Group Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Medical Center Anesthesiology Past Accepting new patients

Locations

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
Ste M917
San Francisco, CA 94143
Phone (415) 353-1116

505 Parnassus Ave
Rm M917
San Francisco, CA 94143
Phone (415) 353-1212

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

513 Parnassus Ave
Rm S436
San Francisco, CA 94143
Phone (415) 476-3235

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

513 Parnassus Ave
Ste S436
San Francisco, CA 94143

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1548525611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE STE M917",
            "address_2": "BOX 0624",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430624",
            "telephone_number": "415-514-3781",
            "fax_number": "415-514-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE STE M917",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430624",
            "telephone_number": "415-514-3781",
            "fax_number": "415-514-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MI",
            "license": "3201001683",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "A131338",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A131338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.