DR. PHILIP S DUDAK DC, FNP-C
NPI 1720067051
Nurse Practitioner - Family in Saint Louis, MO
About Dr. Philip S Dudak Dc, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP S DUDAK DC, FNP-C (NPI 1720067051) is an individual family provider in Saint Louis, Missouri, licensed in Illinois (209010226) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Christian Hospital Northeast, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 2
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. Philip S Dudak Dc, Fnp-c 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
2Medicare enrollment records show Philip Dudak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63136
- Reassigned Medicare billing, Missouri enrollment
- 19 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Illinois and Missouri enrollments
- Also billed through NPI 1679503668 (Missouri)
- 507 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 6
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.
Christian Hospital Northeast
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63136
SAINT LOUIS, MO 63136
SAINT LOUIS, MO 63136
SAINT LOUIS, MO 63136
SAINT LOUIS, MO 63136
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 Philip Dudak's NPI number?
The NPI number for Philip Dudak is 1720067051. It was assigned to this individual provider in the NPPES registry on January 13, 2006.
Where is Philip Dudak located?
Philip Dudak practices at 11133 Dunn Rd, Saint Louis, MO 63136. The listed phone number is (314) 653-5228.
What is Philip Dudak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Philip Dudak enrolled in Medicare?
Yes. Philip Dudak 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 Philip Dudak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Dudak reassigns Medicare benefits to 2 organizations: Midwest Anesthesia Associates, P.C. (Saint Louis, MO) and Fairview Heights Medical Group, Sc (Saint Louis, MO). 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 Philip Dudak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Dudak accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Philip Dudak 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 Philip Dudak affiliated with any hospitals?
According to CMS data, Philip Dudak is affiliated with Christian Hospital Northeast.
When was this NPI record last updated?
The NPPES record for Philip Dudak was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Philip S Dudak, DC, FNP-C · NPI 1720067051
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since January 13, 2006.
## Identity
- **NPI:** 1720067051 (Entity type: Individual)
- **Enumerated:** January 13, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209010226 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 11133 DUNN RD, Saint Louis, MO 63136-6163
- **Phone:** (314) 653-5228
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Midwest Anesthesia Associates, P.C. (NPI 1558719617, Saint Louis, MO); Fairview Heights Medical Group, Sc (NPI 1811392210, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 29, 2021
- **Other identifiers:** Other 118828 (IL); Other 4400267
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Source: [NPI Profile](https://npiprofile.com/npi/1720067051) · Data from the CMS NPPES public registry.