Active NPI
John Dudley, M.D.
- Interventional Cardiology Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME162979
- Practice address
- 320 Racetrack Rd NW Ste 100D
Fort Walton Beach, FL 32547-1796 - Phone
- (448) 202-6100
- Fax
- (448) 202-6101
- NPI assigned
- Jun 15, 2016
- Last updated
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | ME162979 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | ME162979 | FL | |
| Internal Medicine Physician | 207R00000X | LP03806 | RI |
Addresses
Primary practice location
320 Racetrack Rd NW Ste 100D
Fort Walton Beach, FL 32547-1796
Mailing address
320 Racetrack Rd NW Ste 100D
Fort Walton Beach, FL 32547-1796
Phone (448) 202-6100
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
- Interventional Cardiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
129 E Redstone Ave
Suite a
Crestview, FL 32539-5350
Phone (850) 682-7212
320 Racetrack Rd NW
Suite 100D
Fort Walton Beach, FL 32547-1796
Phone (444) 202-6100
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
- HCA Florida Twin Cities Hospital
- North Okaloosa Medical Center
- HCA Florida Gulf Coast Hospital
- HCA Florida West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- Quality
- 68.18
- Improvement activities
- 40
- Cost
- 78.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Florida Multispecialty Physicians LLC | Current | Accepting new patients | |
| Okaloosa Cardiology P a | Cardiovascular Disease | Current | Accepting new patients |
Locations
129 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 682-7212
320 Racetrack Rd NW
Ste 100D
Fort Walton Beach, FL 32547
Phone (444) 202-6100
921 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 388-4333
1032 Mar Walt Dr
Unit 110
Ft Walton Bch, FL 32547
Phone (850) 862-1753
1032 Mar Walt Dr
Unit 230
Ft Walton Bch, FL 32547
Phone (850) 862-3194
Interoperability endpoints
- john.dudley@hca5.eclinicaldirectplus.com
- jbdudley@yourcarecommunity.org
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009543
- johndudley@ocfl.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Fort Walton Beach, FL
- NPI 1790912269
-
- Cardiovascular Disease Physician
- Crestview, FL
- NPI 1144270240
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1679923254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 RACETRACK RD NW STE 100D",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471796",
"telephone_number": "448-202-6100",
"fax_number": "448-202-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 RACETRACK RD NW STE 100D",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471796",
"telephone_number": "448-202-6100",
"fax_number": "448-202-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME162979",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME162979",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP03806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.