Individual provider Active NPI

John E Dudich, MD

  • Anesthesiology Physician
  • Wheeling, WV
National Provider Identifier
1699801357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17767 Issued in WV
Practice address
1 Medical Park
Wheeling, WV 26003-6379
Phone
(304) 233-2455
Fax
(304) 233-6073
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17767 WV Primary

Addresses

Primary practice location

1 Medical Park
Wheeling, WV 26003-6379

Mailing address

PO Box 6732
Wheeling, WV 26003-0656
Phone (304) 233-2455

Other identifiers 1

IdentifierTypeStateIssuer
0060788000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101207000678 OH Practitioner - Anesthesiology 9133254824 Reassigns benefits to 1 organization
I20111215000006 WV Practitioner - Anesthesiology 9133254824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Ohio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

68 State Route 7
Bridgeport, OH 43912-1642
Phone (740) 676-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17767WVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont County Health Services Inc CurrentSince Apr 22, 2017 Accepting new patients
Harrison Community Hospital Inc Anesthesiology CurrentSince Apr 22, 2017 Accepting new patients
Harrison Community Hospital, Inc. Current Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Wheeling Hospital Ambulatory Surgery Center LLC CurrentSince Nov 11, 2023 Accepting new patients
Wheeling Hospital, Inc. Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients

Locations

4697 Harrison St
Bellaire, OH 43906
Phone (304) 234-2000

68 State Route 7
Bridgeport, OH 43912
Phone (740) 676-6600

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

109 Mount Wood Rd
#1
Wheeling, WV 26003

109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146

Organizations & group practices 6

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 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699801357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6732",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030656",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDICH",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "17767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060788000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.