MARLA W DUDAK MD PC
NPI 1407600570
Surgery in Salt Lake City, UT

Q: What is Marla W Dudak MD PC's NPI number?

The NPI number for Marla W Dudak MD PC is 1407600570. It was assigned to this organization in the NPPES registry on April 15, 2024.

Q: What is Marla W Dudak MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 15, 2024

1220 E 3900 S STE 4I, SALT LAKE CITY, UT 84124(801) 948-2380(801) 948-2385 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Marla W Dudak Md Pc NPPES

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

MARLA W DUDAK MD PC (NPI 1407600570) is a healthcare organization registered as a surgery in Salt Lake City, Utah and active in the NPI registry since April 2024. The organization lists Marla W Dudak, President, as its authorized official.

NPPES Registry Identity

NPI1407600570

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMARLA W DUDAK MD PC

Location Address1220 E 3900 S STE 4ISalt Lake City, UT 84124-1383

Mailing AddressPo Box 150610Ogden, UT 84415-0610 · (801) 476-9200 · Fax (801) 476-9208

Phone(801) 948-2380

Fax(801) 948-2385

Organization SubpartNo

Authorized OfficialMarla W DudakPresident · (561) 706-7004

Enumeration DateApril 15, 2024

NPPES CertifiedApril 15, 2024

✔ NPI 1407600570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1220 E 3900 S STE 4I, Salt Lake City, UT 84124

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marla W Dudak Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marla W Dudak MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marla Dudak, M.D.

General Surgery

NPI 1154359529

1220 E 3900 S STE 4I
Salt Lake City, UT 84124

(801) 948-2380

✔ PECOS✔ Accepts MedicareSame address

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 Marla W Dudak MD PC's NPI number?

The NPI number for Marla W Dudak MD PC is 1407600570. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Marla W Dudak MD PC located?

Marla W Dudak MD PC is located at 1220 E 3900 S Ste 4I, Salt Lake City, UT 84124. The listed phone number is (801) 948-2380.

What is Marla W Dudak MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marla W Dudak MD PC enrolled in Medicare?

Yes. Marla W Dudak MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marla W Dudak MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Marla W Dudak MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Marla W Dudak MD PC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Marla W Dudak MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marla W Dudak MD PC was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.