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JOSHUA KEVIN DUDZIAK NP
NPI 1174333017
Nurse Practitioner - Family in Williamsville, NY

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221(716) 836-4646 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joshua Kevin Dudziak Np NPPES

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

JOSHUA KEVIN DUDZIAK NP (NPI 1174333017) is an individual family provider in Williamsville, New York, licensed in New York (355751) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174333017
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSHUA KEVIN DUDZIAKCredential: NP
Location Address111 N MAPLEMERE RD STE 120Williamsville, NY 14221-3181
Mailing Address111 N Maplemere Rd Ste 120Williamsville, NY 14221-3181 · (716) 836-4646
Phone(716) 836-4646
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1174333017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 355751
111 N MAPLEMERE RD STE 120, Williamsville, NY 14221
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Kevin Dudziak Np 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 ID3779005269
PECOS Enrollment IDI20250313001486
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Joshua Dudziak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Lakes Medical Imaging LLC
Same address
Diagnostic Radiology
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 45 clinicians in this Medicare group
NPI 1861763005 (716) 836-4646
Kaleida Health
2.7 mi
General Acute Care Hospital
1540 MAPLE RD
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1053441907 (716) 568-3600
Western New York Radiology Associates LLC
7.4 mi
Diagnostic Radiology
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1285682500 (716) 859-2954

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

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

DR. JACOB CHENEZ DO
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
PHILLIP ADAM BAUM MD
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
DR. JAMES J RINALDI MD
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
MARK DIIULIO MD
Radiology (Vascular & Interventional Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
ROSEANNE OLIVERIO MD
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
THOMAS BEVILACQUA M.D.
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
FAISAL M SHAH MD
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646
DOUGLAS S. DRUMSTA M.D.
Radiology (Diagnostic Radiology)
111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY 14221
Erie County (716) 836-4646

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 Joshua Dudziak's NPI number?

The NPI number for Joshua Dudziak is 1174333017. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Joshua Dudziak located?

Joshua Dudziak practices at 111 N Maplemere Rd Ste 120, Williamsville, NY 14221. The listed phone number is (716) 836-4646.

What is Joshua Dudziak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joshua Dudziak enrolled in Medicare?

Yes. Joshua Dudziak 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.

Which organizations bill Medicare for Joshua Dudziak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Dudziak reassigns Medicare benefits to 3 organizations: Great Lakes Medical Imaging LLC (Williamsville, NY), Kaleida Health (Williamsville, NY) and Western New York Radiology Associates LLC (Buffalo, NY). Each 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 Joshua Dudziak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joshua Dudziak affiliated with any hospitals?

According to CMS data, Joshua Dudziak is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Joshua Dudziak was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.