DR. DANIEL JOHN DUDRICK M.D. NPI 1003825506

NPI Information

  • NPI: 1003825506
  • Provider Name: DR. DANIEL JOHN DUDRICK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 239 S MOUNTAIN BLVD
    SUITE 100
    MOUNTAIN TOP, PA
    ZIP 18707
  • Phone: (570) 474-9300

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NPI Details

DR. Daniel John Dudrick, M.D. is a family medicine in Mountain Top, PA with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Daniel John Dudrick, M.D. NPI is 1003825506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2001

The provider's business location address is:

239 S MOUNTAIN BLVD
SUITE 100
MOUNTAIN TOP, PA
ZIP 18707-911
Phone: (570) 474-9300
Fax: (570) 474-0962

The NPI 1003825506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Administration of vaccine (HCPCS:90471)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Urinalysis, manual test (HCPCS:81002)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Removal of impacted ear wax (HCPCS:69210)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 11/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD438396PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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