Deep R Dudeja, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G83764 Issued in CA

Practice address

121 W Whittier Blvd
Suite 100
La Habra, CA 90631-3893

Phone

(562) 694-2500

Fax

(562) 694-2577

NPI assigned

Apr 5, 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

Enrolled in CA

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 1

Specialty

Ophthalmology

Education

Saint Louis University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score

78.61 of 100Reported as group

Quality

58.7

Improvement activities

40

Cost

75.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: deepdudeja@pihh.allscriptsdirect.net

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.

• Pih Health Physicians

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1609233899
  Medicare reassignment Care Compare group NPD
• Cataract and Cornea Surgical Institute, Inc

  • Ophthalmology Physician
  • La Habra, CA
  • NPI 1750342622
  NPD (past) Authorized official
• Pih Health Physicians

  • Surgery Physician
  • Downey, CA
  • NPI 1255713566
  NPD

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

• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296259200000",
    "number": "1821050642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WHITTIER BLVD",
            "address_2": "SUITE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313893",
            "telephone_number": "562-694-2500",
            "fax_number": "562-694-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WHITTIER BLVD",
            "address_2": "SUITE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313893",
            "telephone_number": "562-694-2500",
            "fax_number": "562-694-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEJA",
        "first_name": "DEEP",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G837640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha E Dovali, DDS
• Dr Kim Dental Corporation
• Dr. Barraza-Reyes, PHD, a Psychological Corporation
• Dr.Jatin P. Shah, D.D.S. , Inc.
• DTM Investments LLC
• Gary Duffield, L. AC.
• Espiranza Dulnuan Dumulo, DDS
• Karen Elizabeth Dymond, PH.D.
• Heidi Jean Dyreson, MA,CCC-SP
• E Amin DMD, Inc.

• Ophthalmology Physician in La Habra, CA
• Providers in La Habra, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; 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.

Verify at the official NPI Registry.