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DR. PHILIP S DUDAK DC, FNP-C
NPI 1720067051
Nurse Practitioner - Family in Saint Louis, MO

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
11133 DUNN RD, SAINT LOUIS, MO 63136(314) 653-5228 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Alton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720067051
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. PHILIP S DUDAKCredential: DC, FNP-C
Location Address11133 DUNN RDSaint Louis, MO 63136-6163
Mailing Address11125 Dunn Rd Ste 100Saint Louis, MO 63136-6132 · (314) 653-5228
Phone(314) 653-5228
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1720067051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209010226✔ Licensed in MO · 2013003629
Also ListedChiropractorTaxonomy 111N00000X · License 038006559 (IL), 005778 (MO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209010226 (IL), 2013003629 (MO)
11133 DUNN RD, Saint Louis, MO 63136
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12122 Troy Rd Ste 130Edwardsville, IL 62025-2540 · Phone (314) 653-5228
Location 25960 Howdershell Rd, 204Hazelwood, MO 63042-4100 · Phone (314) 895-4141 · Fax (314) 895-5040

Other Identifiers 2

Other118828IL · Bcbs
Other4400267Uhc

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7911946421
PECOS Enrollment IDI20140919001191
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
473 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services34 patients
Electronic analysis and reprogramming of spinal canal drug infusion pump 62368
This procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.
37 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services23 patients
Electronic analysis of spinal canal drug infusion pump 62367
Electronic analysis of a spinal canal drug infusion pump is a procedure to check how well your medication pump is functioning. This pump delivers pain-relieving drugs directly to your spinal canal. The analysis ensures the correct dosage and proper functioning of the device.
25 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician 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.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

ALEXANDER SEXTRO CAA
Anesthesiologist Assistant
11133 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5000
DR. HILTON I PRICE MD
Radiology (Diagnostic Radiology)
11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136
St. Louis County (314) 362-7200
LESLEY ANN HANSON D.O.
Internal Medicine (Critical Care Medicine)
11133 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 317-0600
MARY A. RUDLOFF M.D.
Pathology (Anatomic Pathology)
11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5630
ELYSHA M KACHEVAS
Nurse Practitioner (Family)
11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5007
DR. GRACE ELIZABETH MONTES MD
Emergency Medicine
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
St. Louis County (314) 362-9123
MS. CHRISTIE MARIE KEEN FNP
Nurse Practitioner
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
St. Louis County (314) 362-9123
CHRISTIAN HOSPITAL NORTHEAST
Psychiatric Unit
11133 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5582

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.

Is Philip Dudak affiliated with any hospitals?

According to CMS data, Philip Dudak is affiliated with Alton Memorial Hospital and 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.