DR. SAMUEL CALVERT DUDLEY JR. M.D., PH.D
NPI 1568575173
Internal Medicine - Cardiovascular Disease in Minneapolis, MN
About Dr. Samuel Calvert Dudley Jr. M.d., Ph.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL CALVERT DUDLEY JR. M.D., PH.D (NPI 1568575173) is an individual cardiovascular disease provider in Minneapolis, Minnesota, licensed in Rhode Island (MD14147) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Virginia Commonwealth University, School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Dr. Samuel Calvert Dudley Jr. M.d., Ph.d 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.
Medicare Billing Reassignments
5Medicare enrollment records show Samuel Dudley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Samuel Dudley's NPI number?
The NPI number for Samuel Dudley is 1568575173. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Samuel Dudley located?
Samuel Dudley practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.
What is Samuel Dudley's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Samuel Dudley enrolled in Medicare?
Yes. Samuel Dudley 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 Samuel Dudley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Dudley reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), Fairview Clinics (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). 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 Samuel Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Dudley accept?
Health plans from Sanford Health Plan list Samuel Dudley 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.
Is Samuel Dudley affiliated with any hospitals?
According to CMS data, Samuel Dudley is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Samuel Dudley was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Samuel Calvert Dudley Jr., M.D., PH.D · NPI 1568575173
Cardiovascular Disease physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1568575173 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD14147 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 672-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** November 1, 2017
- **Other identifiers:** Other MD14147 (RI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1568575173) · Data from the CMS NPPES public registry.