Martin Hudzinski, M.D.
Individual provider Active NPI Family Medicine Physician · South Mountain, PA
NPI 1972582575 · NPPES record last updated Apr 20, 2015
Key facts
- NPI
- 1972582575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD023873E (PA)
- Practice address
- 10058 S Mountain Rd
South Mountain, PA 17261-0900 - Phone
- (717) 749-3121
- Fax
- (717) 749-4071
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pennsylvania Department of Human Services
Practice addresses (Care Compare)
10058 S Mountain Rd
South Mountain, PA 17261-0900
Phone (717) 749-3121
Hospital & facility affiliations
- Wellspan Waynesboro Hospital
- Wellspan Chambersburg Hospital
- South Mountain Restoration Cen
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| South Mountain Restoration Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 6, 2014 Jan 6, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004000639 | PA | Practitioner - Family Practice | 0446295273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Human Services | Current |
Accepting new patients | |
| Pennsylvania Department of Public Welfare | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10058 S Mountain Rd
South Mountain, PA 17261
Phone (717) 749-3121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD023873E | PA | Yes |
Addresses
Primary practice location
10058 S Mountain Rd
South Mountain, PA 17261-0900
Mailing address
10058 S Mountain Rd
South Mountain, PA 17261-0900
Phone (717) 749-3121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008569770001 | Medicaid | PA |
Other providers in South Mountain, PA
- Usha A Bhargave
- Michael A Caesar
- Cornell Abraxas Group, Inc.
- Alan Feldberg
- Brett W Goglin
- Pennsylvania Department of Human Services
- Ann M Shemo
- Janardan P Sinha
All providers in South Mountain, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.