Active NPI
Janey Dudley Deleeuw
- Pediatrics Physician
- Tyler, TX
National Provider Identifier
1740868652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V9300
- Practice address
- 1000 S Beckham Ave
Tyler, TX 75701-1908 - Phone
- (903) 590-5612
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | V9300 | TX | Primary |
Addresses
Primary practice location
1000 S Beckham Ave
Tyler, TX 75701-1908
Mailing address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5612
Other names 1
- Janey N Dudley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Pediatric Medicine
- Education
- University of Alabama School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
901 Turtle Creek Dr
Tyler, TX 75701-1947
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Tyler Regional Hospital LLC | Past | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- jdudleydeleeuw1356825@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1740868652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757011908",
"telephone_number": "903-590-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757011908",
"telephone_number": "903-590-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY DELEEUW",
"first_name": "JANEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V9300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANEY",
"last_name": "DUDLEY",
"middle_name": "N",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.