DR. JACOB DUDZINSKI MD
NPI 1033788872
Dermatology in Chicago, IL

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob Dudzinski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB DUDZINSKI MD (NPI 1033788872) is an individual dermatology provider in Chicago, Illinois, licensed in Missouri (2021024175) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1033788872
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JACOB DUDZINSKICredential: MD
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address8931 Ash LnHickory Hills, IL 60457-3205 · (708) 263-8523
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
NPI 1033788872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MO · 2021024175
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1969 W OGDEN AVE, Chicago, IL 60612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Dudzinski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860894409
PECOS Enrollment IDI20250903001281
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Dudzinski's NPI number?

The NPI number for Jacob Dudzinski is 1033788872. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Jacob Dudzinski located?

Jacob Dudzinski practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Jacob Dudzinski's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jacob Dudzinski enrolled in Medicare?

Yes. Jacob Dudzinski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob Dudzinski affiliated with any hospitals?

According to CMS data, Jacob Dudzinski is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Dudzinski was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.