Edward J Dudek, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D13330 Issued in MD

Practice address

730 24TH St NW
Suite 17
Washington, DC 20037-2543

Phone

(202) 337-7660

Fax

(202) 625-6018

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fresenius Anne Arundel Outpatient Dialysis Services, LLC

  dba Fresenius Medical Care Odenton

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Odenton, MD
  • NPI 1558605501
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1669428256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 24TH ST NW",
            "address_2": "SUITE 17",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372543",
            "telephone_number": "202-337-7660",
            "fax_number": "202-625-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D13330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043143",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavanda Duckwilder
• Sonte B. Ducote, LGSW
• Patricia Ductan
• Samnatha Marie Dudding, CCC-SLP
• Laura D. Dudeck, OTR/L
• Pooja Mayur Dudhedia
• Angela Lashanette Dudley
• Charmaine Marie Dudley, PCA
• Clarissa M Dudley, M.D.
• Dana Peel Dudley, LMSW

• Nephrology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Nephrology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.