Individual provider Active NPI

Lewis Todd Dudley, M.D.

  • Pediatric Radiology Physician
  • Sacramento, CA
National Provider Identifier
1912939109
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
A94986 Issued in CA
Practice address
5151 F St
Sacramento, CA 95819-3223
Phone
(916) 733-1925
Fax
(916) 733-1074
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X A94986 CA Primary
Diagnostic Radiology Physician 2085R0202X A94986 CA

Addresses

Primary practice location

5151 F St
Sacramento, CA 95819-3223

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (855) 771-0335

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060817000339 CA Practitioner - Diagnostic Radiology 4486657210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

1655 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1661 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1680 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3988
Phone (916) 783-8114

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

2 Medical Plaza Dr
Roseville, CA 95661-3042

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

4011 Woodcreek Oaks Blvd
Roseville, CA 95747-6834
Phone (530) 649-3338

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

470 Plumas Blvd
Suite 201
Yuba City, CA 95991-5077
Phone (530) 741-3358

550 B St
Yuba City, CA 95991-5067
Phone (530) 749-3650

8118 Timberlake Way
Sacramento, CA 95823-5400
Phone (916) 681-8852

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Sutter Davis Hospital Hospital, Davis, CA, CCN 050537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94986CAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Diagnostic Radiology CurrentSince Dec 16, 2013 Accepting new patients
Radiological Associates of Sacramento Medical Group Diagnostic Radiology Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Diagnostic Radiology Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Person Memorial Hospital Past Accepting new patients
Pitt County Memorial Hospital, Inc Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Riverside Hospital Inc Past Accepting new patients

Locations

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1661 Creekside Dr
Folsom, CA 95630
Phone (916) 984-0739

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1640 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 733-1970

2 Scripps Dr
Ste 110
Sacramento, CA 95825
Phone (916) 929-3393

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Organizations & group practices 10

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 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1912939109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "855-771-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 F ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193223",
            "telephone_number": "916-733-1925",
            "fax_number": "916-733-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "LEWIS",
        "middle_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A94986",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A94986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.