NPIMap

Individual provider Active NPI

Martin Hudzinski, M.D.

  • Family Medicine Physician
  • South Mountain, PA
National Provider Identifier
1972582575
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD023873E Issued in 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
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD023873E PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000639 PA Practitioner - Family Practice 0446295273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10058 S Mountain Rd
South Mountain, PA 17261-0900
Phone (717) 749-3121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD023873EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince Jun 9, 2014 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Jun 9, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10058 S Mountain Rd
South Mountain, PA 17261
Phone (717) 749-3121

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Mountain Restoration CenterSouth Mountain, PA, CCN 395583 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 6, 2014
Jan 6, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1972582575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10058 S MOUNTAIN RD",
            "city": "SOUTH MOUNTAIN",
            "state": "PA",
            "postal_code": "172610900",
            "telephone_number": "717-749-3121",
            "fax_number": "717-749-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 S MOUNTAIN RD",
            "city": "SOUTH MOUNTAIN",
            "state": "PA",
            "postal_code": "172610900",
            "telephone_number": "717-749-3121",
            "fax_number": "717-749-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDZINSKI",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD023873E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Mountain, PA

Sources for this page

Verify at the official NPI Registry.