DR. SAMUEL WASHINGTON DUDLEY III M.D.
NPI 1669478459
Pediatrics in Columbus, OH

Active since June 26, 2005PECOS Enrolled
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205(614) 722-4554(614) 722-4565 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2025, May 26, 2021, Mar 10, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Samuel Washington Dudley Iii M.d. NPPES

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

DR. SAMUEL WASHINGTON DUDLEY III M.D. (NPI 1669478459) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (35079310) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669478459
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMUEL WASHINGTON DUDLEY IIICredential: M.D.
Location Address700 CHILDREN'S DRIVEColumbus, OH 43205-2664
Mailing Address700 Children's DriveColumbus, OH 43205-2664 · (614) 722-2000 · Fax (614) 355-4497
Fax(614) 722-4565
Sole ProprietorNo
Enumeration DateJune 26, 2005
Last NPPES UpdateMay 19, 20255 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1669478459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OH · 35079310
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 35079310 (OH)
Also ListedHospitalistTaxonomy 208M00000X · License 35079310 (OH)
700 CHILDREN'S DRIVE, Columbus, OH 43205

Other Identifiers 1

Medicaid0116931OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samuel Washington Dudley Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Pediatrics (Pediatric Critical Care Medicine)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
Nurse Anesthetist, Certified Registered
700 CHILDREN'S DRIVE, SECTION OF ANESTHESIOLOGY
COLUMBUS, OH 43205
Pediatrics (Pediatric Gastroenterology)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205
Pediatrics (Pediatric Hematology-Oncology)
700 CHILDREN'S DRIVE
COLUMBUS, OH 43205

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 1669478459. It was assigned to this individual provider in the NPPES registry on June 26, 2005.

Where is Samuel Dudley located?

Samuel Dudley practices at 700 Children's Drive, Columbus, OH 43205. The listed phone number is (614) 722-4554.

What is Samuel Dudley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Dudley enrolled in Medicare?

Yes. Samuel Dudley is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Dudley accept?

Health plans from CareSource 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.

When was this NPI record last updated?

The NPPES record for Samuel Dudley was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.