NPIMap

Individual provider Active NPI

Randy M Chudler, MD

  • Urology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1770564924
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301055681 Issued in MI
Practice address
1569 Sodon Lake Dr
Bloomfield Hills, MI 48302-2361
Phone
(248) 626-9056
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301055681 MI Primary

Addresses

Primary practice location

1569 Sodon Lake Dr
Bloomfield Hills, MI 48302-2361

Mailing address

1569 Sodon Lake Dr
Bloomfield Hills, MI 48302-2361
Phone (248) 626-9056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000399 MI Practitioner - Urology 3577688936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055681MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Urology CurrentSince Aug 1, 2019 Accepting new patients
Michigan Healthcare Professionals PC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 1, 2019 Accepting new patients

Locations

31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803

6815 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-1011

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

25 Millville Rd
Lapeer, MI 48446
Phone (810) 538-2015

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Interoperability endpoints

  • Direct secure messaging: rchudler60760@direct.hfhs.org
  • Direct secure messaging: randy.chudler.1@29544.direct.athenahealth.com

Organizations & group practices 11

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 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PC 525 clinicians

Practice addresses (Care Compare)

25 Millville Rd
Lapeer, MI 48446-1643
Phone (810) 538-2020

31500 Telegraph Rd
Suite 130
Bingham Farms, MI 48025-4313
Phone (248) 590-2301

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1770564924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SODON LAKE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022361",
            "telephone_number": "248-626-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SODON LAKE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022361",
            "telephone_number": "248-626-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDLER",
        "first_name": "RANDY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301055681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.