Individual provider Active NPI

Katherine Emma Dudek, DPT

  • Case Manager/Care Coordinator
  • Baltimore, MD
National Provider Identifier
1831688829
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2400 Boston St Ste 114
Baltimore, MD 21224-4780
Phone
(410) 826-6585
Fax
(410) 826-6586
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2400 Boston St Ste 114
Baltimore, MD 21224-4780

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

2540 Billingsley Rd
Columbus, OH 43235-1990
Phone (614) 602-6475

Other practice location 2

6608 Dublin Center Dr
Dublin, OH 43017-2071
Phone (614) 561-7599

Other practice location 3

7690 New Market Center Way
Columbus, OH 43235-1976
Phone (614) 602-6473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003587 MD Practitioner - Physical Therapist in Private Practice 0244688851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

2400 Boston St
Suite 114
Baltimore, MD 21224-4780
Phone (410) 826-6585

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC CurrentSince Oct 2, 2023 Accepting new patients
Ati Holdings, LLC CurrentSince Oct 2, 2023 Accepting new patients
Haugland Learning Center Past Accepting new patients
Haugland, Lamarche, and Ramage LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2400 Boston St
Ste 114
Baltimore, MD 21224
Phone (410) 826-6585

711 W 40th St
Ste 170
Baltimore, MD 21211
Phone (667) 600-4560

7624 Belair Rd
Baltimore, MD 21236
Phone (667) 219-2169

871 E Fort Ave
Unit 17
Baltimore, MD 21230
Phone (410) 622-3310

117 Orville Rd
Essex, MD 21221
Phone (410) 668-2270

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

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.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1831688829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BOSTON ST STE 114",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244780",
            "telephone_number": "410-826-6585",
            "fax_number": "410-826-6586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Billingsley Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351990",
            "country_code": "US",
            "telephone_number": "614-602-6475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6608 Dublin Center Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172071",
            "country_code": "US",
            "telephone_number": "614-561-7599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7690 New Market Center Way",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351976",
            "country_code": "US",
            "telephone_number": "614-602-6473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "KATHERINE",
        "middle_name": "EMMA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.