Individual provider Active NPI

Robert Harris Dudley, MD

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1619973328
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79702 Issued in FL
Practice address
2645 N Federal Hwy
# 100
Delray Beach, FL 33483-6128
Phone
(561) 740-2004
Fax
(561) 742-8226
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 ME79702 FL Primary

Addresses

Primary practice location

2645 N Federal Hwy
# 100
Delray Beach, FL 33483-6128

Mailing address

5700 Lake Worth Rd
# 204
Greenacres, FL 33463-4727
Phone (561) 968-7968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050505000741 FL Practitioner - Family PracticePractitioner - Hospice/Palliative Care 1153361431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach Wellness LLCGroup PAC ID 7113294869, 6 clinicians

Practice addresses (Care Compare)

2645 N Federal Hwy
Suite 120
Delray Beach, FL 33483-6111
Phone (561) 740-2004

Hospital & facility affiliations

  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Community Home Health Services Home health agency, Lake Worth, FL, CCN 107325
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Wellness LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

2645 N Federal Hwy
Ste 100
Delray Beach, FL 33483
Phone (561) 740-2004

2645 N Federal Hwy
Ste 120
Delray Beach, FL 33483
Phone (561) 740-2004

Interoperability endpoints

  • Direct secure messaging: robert.dudley.1@17595.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17595/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 5

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1619973328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "# 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-968-7968",
            "fax_number": "561-964-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N FEDERAL HWY",
            "address_2": "# 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836128",
            "telephone_number": "561-740-2004",
            "fax_number": "561-742-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ROBERT",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.