Robert P Dudek, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

030575 Issued in CT

Practice address

140 Hazard Ave
Suite 101
Enfield, CT 06082-4520

Phone

(860) 272-2940

NPI assigned

Jul 26, 2006

Last updated

Nov 12, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  Medicare reassignment NPD
• Saint Francis Behavioral Health Group, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1801834890
  NPD
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD
• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Meriden, CT
  • NPI 1750125746
  NPD (past)
• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Wallingford, CT
  • NPI 1790844330
  NPD (past)
• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Southington, CT
  • NPI 1821770025
  NPD (past)
• Saint Francis Care Medical Group, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Hartford, CT
  • NPI 1508172545
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1942223045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE",
            "address_2": "SUITE 101",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-272-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAZARD AVE",
            "address_2": "SUITE 101",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-272-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "030575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001305756",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdudek58899@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "140 Hazard Ave",
            "address_2": "Suite 101",
            "city": "Enfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060824520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaliar Drew
• Drug Shoppe Health Solutions of Connecticut, Inc
• Vaughn Drumm
• Dawn Marie Ducharme, LCSW
• Lynn Dudek
• Rachael L Dufrane
• Paul Ernest Dufresne, MS, R.PH., DPH
• Phylicia J Duncan
• Paula Dunn
• Dushyant Parikh

• Orthopaedic Surgery Physician in Enfield, CT
• Providers in Enfield, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.