NORTH EAST FAMILY PRACTICE
NPI 1154490480
Family Medicine in North East, PA

Active since November 08, 2006
115 E MAIN ST, NORTH EAST, PA 16428(814) 725-8774(814) 725-2391 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North East Family Practice NPPES

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

NORTH EAST FAMILY PRACTICE (NPI 1154490480) is a healthcare organization registered as a family medicine in North East, Pennsylvania and active in the NPI registry since November 2006. The organization lists John E Dudzinski, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1154490480
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUDZINSKI ENTERPRISES, INC.
Location Address115 E MAIN STNorth East, PA 16428-1330
Mailing Address115 E Main StNorth East, PA 16428-1330 · (814) 725-8774 · Fax (814) 725-2391
Fax(814) 725-2391
Organization SubpartNo
Authorized OfficialJohn E DudzinskiOwner Physician · (814) 725-8774
Enumeration DateNovember 8, 2006
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1154490480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS006274L✔ Licensed in PA · OS012532
Definition
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.
115 E MAIN ST, North East, PA 16428

Other Names 1

Doing Business AsNorth East Family Practice

Other Identifiers 2

Medicaid1014723860001PA
Medicare ID-Type Unspecified097617PA

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North East Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20060125000707Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North East Family Practice, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1366409062
115 E MAIN ST
North East, PA 16428
(814) 725-8774
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1174580070
115 E MAIN ST
North East, PA 16428
(814) 725-8774
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dudzinski Enterprises, Inc.'s NPI number?

The NPI number for Dudzinski Enterprises, Inc. is 1154490480. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as North East Family Practice.

Where is Dudzinski Enterprises, Inc. located?

Dudzinski Enterprises, Inc. is located at 115 E Main St, North East, PA 16428. The listed phone number is (814) 725-8774.

What is Dudzinski Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dudzinski Enterprises, Inc. enrolled in Medicare?

Yes. Dudzinski Enterprises, Inc. is registered in the Medicare PECOS enrollment system.

When is Dudzinski Enterprises, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dudzinski Enterprises, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Dudzinski Enterprises, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dudzinski Enterprises, Inc. was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.