Active NPI
Robert Harris Dudley, MD
- Family Medicine Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME79702
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
- Community Home Health Services
- Bethesda Hospital East
- Boca Raton Regional Hospital
- Delray Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Wellness LLC | Current | 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
- robert.dudley.1@17595.direct.athenahealth.com
- 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.
-
- Clinic/Center
- Delray Beach, FL
- NPI 1376086082
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- Home Health Agency
- Boynton Beach, FL
- NPI 1992759864
-
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
- Home Health Agency
- Lake Worth, FL
- NPI 1386697936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.